| NPI | 1861860652 |
|---|---|
| Doing Business As | MEMORIAL PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | NISHANO THOMAS Owner 713-864-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21579) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |