| NPI | 1932751062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MANUEL GOMEZ Owner/General Dentist 713-553-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-22 |