| NPI | 1013323435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MARMOL Office Manager 281-580-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 25663) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-08-26 |