| NPI | 1952627770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO A MEJIA President 210-385-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 0022766) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |