| NPI | 1972863314 |
|---|---|
| Doing Business As | MR. DENTIST |
| Entity Type | Organization |
| Authorized Contact | MEDHAT G BADER Owner 210-366-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23703) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2013-01-19 |