| NPI | 1407092935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD DYER Owner/Periodontist 281-304-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 21174) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |