| NPI | 1902196769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE DANIELLE SUNNES Managing Member 713-226-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26077) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |