| NPI | 1336448281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL B ESHELMAN President 281-255-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 13453) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 10990) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |