| NPI | 1710239116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIN DOMANN Orthodontist 713-465-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 23517) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 22867) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2015-06-02 |