NPI | 1811248354 |
---|---|
Entity Type | Organization |
Authorized Contact | DREW DARSEY Owner/President 713-464-8905 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 25899) |
Enumeration Date | 2012-09-24 |
Last Update Date | 2012-09-24 |