| NPI | 1558663260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOI D SHAW Owner/President 713-863-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23758) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |