| NPI | 1013786300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEINE LAFFITA President 832-296-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-01-31 |