| NPI | 1912060138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL COLON-TORRADO Owner 713-503-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 21532) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-01-18 |