| NPI | 1750634499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE T BIBB Owner/ Dentist 713-365-0334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22708) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |