NPI | 1831380245 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD JOHN GARZA Owner President 214-349-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 14634) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2020-08-22 |