| NPI | 1497873616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN MARTINEZ President 281-367-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 15739) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 15915) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-04-22 |