| NPI | 1407016231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRICK LAVONE CASTLEBERRY Dentist 713-664-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 19513) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |