| NPI | 1922367176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGETTE JONES-MCGEATHY Owner/Pediatric Dentist 210-542-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 5252) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5834) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |