| NPI | 1346409489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A GREEN Owner 281-583-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20388) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |