| NPI | 1730405549 |
|---|---|
| Doing Business As | NORTHSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE MORGAN Owner/Operator 832-426-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 18850) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-05-10 |