| NPI | 1750699682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE ZAPATA Office Manager 956-627-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 18868) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2011-11-19 |