| NPI | 1184884009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GEORGE GARDNER Doctor 281-491-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX TX11037) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-17 |