| NPI | 1467000190 |
|---|---|
| Doing Business As | AQUA DENTAL FRIENDSWOOD |
| Entity Type | Organization |
| Authorized Contact | CHASITY MOORE Manger 713-436-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |