| NPI | 1396305942 |
|---|---|
| Doing Business As | DENTAL ILLUSIONS |
| Entity Type | Organization |
| Authorized Contact | MYCHAEL DUFFY Office Manager 713-528-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |