| NPI | 1780120964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED M BURNS Doctor/Owner 830-491-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24186) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |