NPI | 1740466408 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH WAYNE GRIFFIN Officer 281-363-3308 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 11716) |
Enumeration Date | 2008-01-12 |
Last Update Date | 2008-01-12 |