| NPI | 1396121810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MONTZ Owner 281-485-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 18724) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |