| NPI | 1962734160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY ADAMITZ Office Mgr. 210-924-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 14522) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |