| NPI | 1609121938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E LUNSON Owner 281-446-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14781) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 1316233901) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |