| NPI | 1922202167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LYNN LYLES Dentist 210-590-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17349) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |