| NPI | 1497015358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BLAKE SHERRICK Owner 281-450-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 25574) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-06-26 |