| NPI | 1891997367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F CONIGLIO President 361-993-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 00009853) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |