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 |