| NPI | 1770740920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS STOKES FLACH CFO 281-592-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11074) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |