| NPI | 1275966780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUNDA THOMPSON BANKS Owner 713-775-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23564) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 23564) |
| 122300000X Dentist | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23564) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |