| NPI | 1356526248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CARRILLO General Dentist 713-692-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20746) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |