| NPI | 1083618664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVI Z SANGUINETTI Dentist / Owner / President 281-421-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17943) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2012-05-09 |