| NPI | 1669047171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH COOPER-NEWLAND Owner 713-592-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |