| NPI | 1194183251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP MAMMEN Owner 281-394-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 0023225) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |