| NPI | 1174470819 |
|---|---|
| Doing Business As | DENTIST 101 |
| Entity Type | Organization |
| Authorized Contact | JESSICA SU Owner 281-969-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-04-09 |