| NPI | 1831472638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ELISE PALACIOS Owner 956-648-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23897) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |