| NPI | 1376760033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATEMEH BIJAN President 281-859-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 08554) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 19864) |
| 122300000X Dentist (Licence: TX 20413) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |