| NPI | 1194083998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE BIBB Owner/Dentist 713-869-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22708) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |