| NPI | 1952027674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREWS Manager 281-699-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-11-19 |