| NPI | 1942928502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI SAAM SAJADI Managing Partner 832-452-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |