| NPI | 1770869463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREA LAVERN BELLINGER Owner 713-447-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20859) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |