| NPI | 1407010820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GONZALEZ General Dentist 713-644-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 17986) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |