| NPI | 1760854673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO FABIAN PALUK Dentist 713-398-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 21556) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |