| NPI | 1306159280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD F TAMBORELLO Dentist 713-522-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20865) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 14371) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2018-08-29 |