| NPI | 1881837292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENA MICHNIADOWICZ Dentist 210-694-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 21596) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 21205) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |