| NPI | 1376656249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM JANE FOLTA President/Owner 713-227-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11970) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |