| NPI | 1750627212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY BERCHELMANN Owner 210-534-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX B16811) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX B12916) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |