| NPI | 1366716169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T TAYLOR Owner 281-332-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 9003) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |