NPI | 1013580141 |
---|---|
Doing Business As | ONE BRILLIANT DENTAL OF KATY |
Entity Type | Organization |
Authorized Contact | PETER TIMM Owner/Dentist 281-720-8090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-07-16 |
Last Update Date | 2021-07-16 |