| NPI | 1790009355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA RODRIGUEZ President 713-968-9842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24146) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2023-03-07 |