| NPI | 1881023109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGEE VARUGHESE KUNJUMON Manager 210-391-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20001) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |