| NPI | 1982931556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA Q. CISNEROS Owner 713-450-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22148) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |