| NPI | 1932572211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE J SUH Partner 832-695-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 25872) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 25675) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-12-31 |