| NPI | 1992243976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B. MAZOCK Owner 210-696-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 19367) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |