NPI | 1881252765 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARA GULLEY Dentist 713-906-5159 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-06-05 |
Last Update Date | 2024-06-10 |