| NPI | 1851635064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLA ZAKERZADEH Owner 281-704-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23424) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |