| NPI | 1699914705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE DIAZ Pediatric Dentist 713-436-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20798) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |