| NPI | 1811436520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A BURKETT Owner/Dentist 956-584-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18991) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |