| NPI | 1851407779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY A ROSE Owner 281-493-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 9115) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |