| NPI | 1740299452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE MONAE MANOVICH Manager 713-797-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 8307) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-09-18 |