| NPI | 1275880924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M LEBLANC Owner/ Dentist 281-419-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 16515) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |