NPI | 1760522098 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE F LOPEZ President 713-622-8607 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 19857) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2009-01-06 |