| NPI | 1730282971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LESLIE DAVENPORT President & Primary Care Provider 281-497-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10112TX) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |