| NPI | 1609339654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA K CUMMINGS Owner/Dentist 281-298-2503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2021-09-21 |