| NPI | 1851641476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINA PABLOS MONTY Owner 713-691-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 18185) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-19 |