| NPI | 1407078892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANE G MLCAK-SPENCE VP 979-696-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15745) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |