| NPI | 1952819211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE JAVIER LOERA Dentist 972-270-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29992) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-07-10 |