| NPI | 1982060364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD S. PREHN Owner 281-296-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 19309) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |