| NPI | 1174902399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE WAHEED Dentist 713-622-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14710) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |