| NPI | 1780164285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA MERCEDES REINHOLTZ Owner 832-240-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24823) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |