NPI | 1770134876 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN CHARLES HORNBERGER Member 713-899-5218 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-09-20 |
Last Update Date | 2020-11-04 |