| NPI | 1497099733 |
|---|---|
| Doing Business As | ELDRIDGE PARKWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALI F KHAN CFO 713-502-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |