| NPI | 1871945766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WOODY Managing Member 210-845-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25528) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-08-10 |