| NPI | 1518990324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE PENG Owner 281-933-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20826) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |