| NPI | 1760807960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO SALAS Orthodontist 281-589-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24248) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |