| NPI | 1487811659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET A IBARRA Owner 281-484-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 10310) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-10-30 |