| NPI | 1871079368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK TURNER Executive Administrative Assistant 210-659-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2025-07-23 |