| NPI | 1306130414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT DANIEL PECCORA Manager 713-623-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17313463) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |