| NPI | 1376793018 |
|---|---|
| Other Name | TLC DENTAL |
| Entity Type | Organization |
| Authorized Contact | GIOCONDA RIVERA President 281-895-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17256) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |