| NPI | 1609272319 |
|---|---|
| Other Name | SUNNYSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JYRON WALLS Owner 713-738-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |