| NPI | 1831330810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHEN Owner 281-494-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 11886) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |