| NPI | 1962721878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAHEH MOHEB Owner 713-922-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22757) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 22757) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2012-09-19 |