| NPI | 1396285110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDRESS Owner/Orthodontist 713-490-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 6626) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: TX 6626) |
| 1223G0001X Dentist General Practice (Licence: TX 6626) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: TX 6626) | |
| 1223P0300X Dentist Periodontics (Licence: TX 6626) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 6626) | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 6626) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-03-09 |