| NPI | 1801229885 |
|---|---|
| Doing Business As | 24TH STREET DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ELLYSSE YVETTE CANALES Dentist 210-436-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25653) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |