| NPI | 1609100312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVANEH AZIMPOUR Director 832-275-8996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 19640) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2024-08-02 |