NPI | 1689728164 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL PRICE DUPUIS President 713-862-6408 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15447) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-08-22 |