NPI | 1205321346 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WHITE Manager 281-376-2706 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-06-29 |
Last Update Date | 2018-06-29 |