| NPI | 1982863874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE BILL WHITLEY Dentist Owner 210-224-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 6593) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 12325) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |