| NPI | 1629449533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ANDREA MENDEZ MONTALVO Manager 832-998-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 25824) |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2015-11-18 |