| NPI | 1578713202 |
|---|---|
| Other Name | WEST PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MCRAITH Dentist 713-977-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 15189) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2009-02-21 |