| NPI | 1790222685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L KESNER Dentist/Owner 281-265-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 14415) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |