| NPI | 1821538810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM HOLLAND Owner/Manager 409-718-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 29300) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |