| NPI | 1306399274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVANI SHAH President 832-725-8621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24766) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |