| NPI | 1609034727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GEACCONE Dentist/ Owner 281-332-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX D14401) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |