| NPI | 1992088579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ZAMORA Office Manager 956-581-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26024) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |