| NPI | 1386063162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARL O LAVERNE Office Manager 713-947-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 12508) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |