| NPI | 1912212259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY C FILLMAN President 281-693-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21296) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |