| NPI | 1831535871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDINO OCTAVIO ELIZONDO Owner/President 956-399-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 19338) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |