| NPI | 1801147673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SEMUHA CEO 210-545-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24982) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27177) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2016-02-11 |