| NPI | 1770311615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS BARRERA Owner 956-619-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |