| NPI | 1275812430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D. WEST Owner/Provider 281-681-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 21111) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2013-04-23 |