| NPI | 1922013796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON BRADLEY WOODS Owner 210-349-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16884) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 16857) |
| 1223P0700X Dentist, Prosthodontics (Licence: TX 15678) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |