| NPI | 1699470989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA A PALACIOS Owner 832-278-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-05-08 |