| NPI | 1104295252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANKAJ JOSHI Billing Manager 281-336-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18850) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |