| NPI | 1982927661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J HERNANDEZ Owner 830-693-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20081) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |