| NPI | 1083115521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKEEM AJAYI General Dentist 832-906-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 30727) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |