| NPI | 1003983255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE VONDENSTEIN Administrative Assistant 281-576-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 19055) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-06-18 |