| NPI | 1154920023 |
|---|---|
| Doing Business As | KATY CREEK RANCH FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DEJA OPUSUNJU Dentist 281-810-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2023-02-28 |