| 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 |