| NPI | 1861940512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO HERRERA President 830-775-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18586) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |