| NPI | 1750547659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN SLUTSKY Owner 281-679-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |