| NPI | 1386810166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA FUENTES Office Manager 713-777-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 17955) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |