| NPI | 1568932788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HERRING JOHNSON Dr 281-351-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2019-04-15 |