| NPI | 1164212064 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JON ROBERT FRIEDBERG Owner 713-464-7444 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0300X Dentist, Periodontics | 
| Additional Taxonomies | 1223E0200X Dentist, Endodontics | 
| 1223G0001X Dentist, General Practice | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2025-05-12 | 
| Last Update Date | 2025-07-01 |