| NPI | 1174508972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L WENDER President 281-859-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10754) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |