| NPI | 1972991735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DYLAN CAREY Owner 210-832-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27153) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |