| NPI | 1013458488 |
|---|---|
| Doing Business As | HOME DENTAL |
| Entity Type | Organization |
| Authorized Contact | DIANA MOLINA Front Desk 281-752-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 30674) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |