| NPI | 1871863043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MICHAEL KRAL President 210-824-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 15729) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |