| NPI | 1265561583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNE REEDY GANLEY President 281-296-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21219) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |