NPI | 1578604542 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY ANN MAI President 281-564-6665 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20797) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 21565) |
122300000X Dentist (Licence: TX 21632) | |
122300000X Dentist (Licence: TX 22418) | |
122300000X Dentist (Licence: TX 17043) | |
122300000X Dentist (Licence: TX 22777) | |
1223G0001X Dentist, General Practice (Licence: TX 16924) | |
Enumeration Date | 2007-02-10 |
Last Update Date | 2025-09-11 |