| NPI | 1659666246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN DOULATSHAHI Supervisosr 281-260-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23096) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |