| NPI | 1396087524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA M REINHOLTZ Owner 832-350-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 24823) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |