| NPI | 1487888160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN DO Owner/Dentist 281-485-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23838) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-09-14 |