| NPI | 1750818159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILA HUSAIN Managing Director 832-781-0462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 23488) |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |