| NPI | 1720141799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY DELCLOS Responsible Officer 281-265-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 15398) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-01-12 |