| NPI | 1396127429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIA MUSETTI Owner 713-504-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24098) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 24098) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-07-24 |