| NPI | 1942530910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L FLEITAS Sole Member 830-779-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17709) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2013-09-05 |