| NPI | 1669841128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LE-SAAB Owner President 281-496-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 22808) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |