| NPI | 1801198437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE GARZA-PEISEN Pediatric Dentist 956-821-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22818) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |