| NPI | 1023478062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ALAN WHITE Owner/President 281-852-5690 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28531) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |