| NPI | 1215493408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVETTE D JOHNSON-HARRIS Owner,Provider 832-654-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |