| NPI | 1023368958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM SHARIFF Owner 281-558-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28232) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 28371) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2020-03-05 |