| NPI | 1871754978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO MARCUSHAMER Owner 210-225-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18580) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |