| NPI | 1942355516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE M WARD Dentist 915-544-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 16883) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-09-06 |