| NPI | 1043662976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANIYU TAIWO ABIB Owner 281-496-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 31363) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2016-07-03 |