| NPI | 1073709671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY CHARLES Owner 281-931-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15393) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2008-03-27 |