| NPI | 1073844130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADAF SIANATI President 281-260-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 23096) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: TX 24915) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |