NPI | 1659384402 |
---|---|
Entity Type | Organization |
Authorized Contact | MIRIAM JANE FOLTA President,Owner 281-558-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 11970) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-08-22 |