| NPI | 1558809236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAGANDEEP KAHLON Manager 281-769-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29694) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |