| NPI | 1720256084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON PRESLEY DICKENS Owner/President 713-225-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19874) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |