| NPI | 1649645268 |
|---|---|
| Other Name | 1488 DENTAL |
| Entity Type | Organization |
| Authorized Contact | MBACHAN OKWEN Owner 936-242-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25198) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |