| NPI | 1154740124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF S TAN Owner Dentist 281-907-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 28240) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |