| NPI | 1801737010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANA GUTIERREZ GANESHAPPA Dentist 210-981-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-04-02 |