| NPI | 1245588169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHOLAM REZA ZAKHIREH Manager/President 281-338-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 13577) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |