| NPI | 1033376579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA MAHABIR Associate 713-641-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 21202) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 10215) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |