| NPI | 1568994051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P BUCK Owner 281-421-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 12268) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |