| NPI | 1780840009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA CISNEROS Doctor 281-452-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2010-06-10 |