| NPI | 1225479850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SPENCER LACROIX President 281-980-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19814) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 11954) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |