| NPI | 1477654119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALAN CRIST President/Dentist 281-873-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX Tx D 12277) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |