| NPI | 1366336471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL AGUSTIN Administrator 713-783-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |