| NPI | 1932558343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY L LOVING Manager/ Owner 210-957-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22312) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |