| NPI | 1063698918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J. DILEO Doctor/Owner 409-886-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16900) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 16906) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2016-02-03 |