| NPI | 1720417488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MINOTT-WARREN President 713-636-9734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 17294) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |