| NPI | 1750165767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUNDA THOMPSON BANKS Owner 713-775-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 122300000X Dentist | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |