| NPI | 1861644601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN MCQUADE Owner/Pediatric Dentist 409-866-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 20249) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |