| NPI | 1568955052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MANEEVESE Owner 713-598-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 29915) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-16 |