| NPI | 1053566281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA K KOTSIOS Practice Administrator 281-296-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2013-05-15 |