NPI | 1366826174 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD ANDRESS Owner 713-490-8880 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 6626) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223G0001X Dentist, General Practice | |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 6626) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |