| NPI | 1356730428 |
|---|---|
| Doing Business As | UPTOWN PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE D RODGERS Practice Adminstrator 713-621-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24061) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |