| NPI | 1033580493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD POPE Credentialing 713-861-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 20273) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2020-02-26 |