NPI | 1972017069 |
---|---|
Doing Business As | BOERNE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LUIGI MASSA Owner/Dentist 830-660-1669 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22462) |
Enumeration Date | 2017-11-28 |
Last Update Date | 2017-11-28 |