| NPI | 1851626683 |
|---|---|
| Other Name | NO |
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH MEGO Owner 956-686-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22116) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |