NPI | 1992154033 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN LEROY ECK Dentist/ Owner 210-492-0205 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13977) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |