| NPI | 1578894986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO GUAJARDO Owner 281-427-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23141) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |