| NPI | 1619313731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH GOSNELL Owner/Dentist 281-290-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 019686) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20961) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |