| NPI | 1548484041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA L REYNOLDS Manager 713-772-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10014) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |