| NPI | 1396100327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO GILES Owner/Clinical Director 281-444-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28122) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2021-05-10 |