| NPI | 1538614185 |
|---|---|
| Doing Business As | NO |
| Entity Type | Organization |
| Authorized Contact | ROBERT BENSON FREELE Owner 281-430-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 9587) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |