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 |