| 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 |