| NPI | 1457896722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW COATS Owner & Authorized Official 281-255-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |