| NPI | 1801206982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED OGE DIKE Director/Dentist 713-777-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21637) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 1417294919) |
| 122300000X Dentist (Licence: TX 1346561594) | |
| 122300000X Dentist (Licence: TX 1831147909) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |