| NPI | 1790044501 |
|---|---|
| Doing Business As | KIDS DENTALAND |
| Entity Type | Organization |
| Authorized Contact | MIGUEL E MEGO President 956-928-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25382) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |