NPI | 1467602961 |
---|---|
Doing Business As | FLOSS |
Entity Type | Organization |
Authorized Contact | DIANNA WILDE Owner 713-942-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20239) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 20239) |
1223G0001X Dentist, General Practice (Licence: TX 24006) | |
Enumeration Date | 2008-09-22 |
Last Update Date | 2012-10-01 |