| NPI | 1619510203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHRISTINE UMANSKY Executive Administrator 832-641-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |