| NPI | 1316035140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C FREEMAN Managing Shareholder 281-367-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223P0300X Dentist, Periodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |