| NPI | 1396290854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY GIBSON Owner Dentist 713-644-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 32229) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |