| NPI | 1558079715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE S PHILLIPS Owner 281-296-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223X2210X Dentist Orofacial Pain |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |