| NPI | 1245452986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAJI JOSEPH JAMES Registered Agent 281-870-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20935) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |