| NPI | 1124515887 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TOD T BRUCHMILLER Endodontist 281-655-0063 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223E0200X Dentist, Endodontics | 
| Additional Taxonomies | 122300000X Dentist | 
| Enumeration Date | 2018-04-18 | 
| Last Update Date | 2018-04-18 |