| NPI | 1750421210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JINKINS BONE Vice President 830-257-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20500) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-06-30 |