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 |