| NPI | 1053571489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT A ALFONSO Owner 281-807-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20647) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |