| NPI | 1639340128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANEH MARYAM DAFTARIAN Dentist/ President 281-213-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2011-11-08 |