| NPI | 1750547980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MULLINS Office Manager 281-812-1144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |