| NPI | 1982964839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER C. AWAGU Owner 210-657-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24209) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-10-11 |