| NPI | 1942460274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S OLEA Dentist/ Owner 210-924-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 18093) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |