| NPI | 1831366400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST THOMAS BICE Dentist/Owner 210-435-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17059) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 9277) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |