| NPI | 1306425335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLA MONTENEGRO Office Manager 713-465-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-08-13 |