| NPI | 1770639395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA CARMEN VILLARROEL President 713-910-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18711) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-02-28 |