| NPI | 1588995286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BRYANT President 281-999-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22518) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22518) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |