| NPI | 1639681661 |
|---|---|
| Doing Business As | TYMES SQUARE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NISHANO THOMAS Owner 832-652-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21579) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |