| NPI | 1922234541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEPPHANIE THACH Doctor 281-778-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23074) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |