| NPI | 1629588165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY B ZBORIL President 979-885-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 30728) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |