NPI | 1154494441 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DAVID SUMMERS Owner 281-350-5378 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12510) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |