NPI | 1831373968 |
---|---|
Entity Type | Organization |
Authorized Contact | MIGUEL CASTILLO Dentist 956-584-3125 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19222) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2007-12-26 |