| NPI | 1295250785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA TABATABAI Dentist 832-563-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 29859) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |