| NPI | 1871675405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA GALLEGOS Office Manager 915-592-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 8159) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-09-14 |