| NPI | 1740443753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON ELMORE General Dentist 281-591-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12963) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |