| NPI | 1700043072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C PHAM Owner 713-365-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 18800) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 16112) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |