| NPI | 1912289406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. MAURICIO CEBALLOS Dentist 281-491-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 18518) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |