| NPI | 1679671135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KENT STOBAUGH Owner 713-464-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 9389) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-18 |