| NPI | 1740721356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY ZOLMAN CFO 979-798-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 10723) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 10723) |
| 1223E0200X Dentist Endodontics (Licence: TX 10723) | |
| 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: TX 10723) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: TX 10723) | |
| 1223P0300X Dentist Periodontics (Licence: TX 10723) | |
| 1223P0700X Dentist Prosthodontics (Licence: TX 10723) | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 10723) | |
| 1223X0008X Dentist Oral and Maxillofacial Radiology (Licence: TX 10723) | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 10723) | |
| 125J00000X Dental Therapist (Licence: TX 10723) | |
| 133NN1002X Nutritionist Nutrition, Education (Licence: TX 10723) | |
| 175F00000X Naturopath (Licence: TX 10723) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |