| NPI | 1427055292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENT MCGUIRE Owner/Partner 713-783-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 11568) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 20405) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |