| NPI | 1770954174 |
|---|---|
| Doing Business As | AGUA DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAHROUZ AKHAVAN Manager 956-380-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 25304) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-11-04 |