| NPI | 1043430382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA REICHARD CASTILLE Dentist Officer Of The Corporation 281-332-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX TX 13444) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX TX 14291) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2011-10-10 |