| NPI | 1750531778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PEREZ-MEDINA President 210-695-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20138) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |