| NPI | 1306251517 |
|---|---|
| Doing Business As | IDEAL FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | ADINA M GORBRON Owner 713-681-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |