| NPI | 1063626232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATEMEH BIJAN President 281-580-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21463) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 19864) |
| 122300000X Dentist (Licence: TX 20052) | |
| 122300000X Dentist (Licence: TX 19803) | |
| 122300000X Dentist (Licence: TX 21910) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |