NPI | 1982973616 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE M ANGELOS President 956-428-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17313) |
Enumeration Date | 2011-12-27 |
Last Update Date | 2011-12-27 |