| NPI | 1982788592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABBIR YAHYA BOXWALLA President 281-350-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20264) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |