NPI | 1629292610 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL PINER GRILLI Chief Executive Officer 281-488-2483 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16905) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 15986) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2025-09-11 |