| NPI | 1609107028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED SAM GOODMAN President 713-668-6162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 07252) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |