| NPI | 1659491504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN MAI President 281-564-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21435) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 22397) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |