| NPI | 1932640737 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FELIPE MORALES Dentist 210-824-1880 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14102) | 
| Enumeration Date | 2017-03-13 | 
| Last Update Date | 2017-03-20 |