| NPI | 1992296685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CONNER VILLARREAL Dentist 956-650-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 31215) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-02-23 |