| 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 |