| NPI | 1982338513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA AYALA Managing Member 210-632-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |