| NPI | 1992097083 |
|---|---|
| Doing Business As | KIDS AND TEENS DENTAL PLACE |
| Entity Type | Organization |
| Authorized Contact | CECILIA CARPIO President 832-661-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24880) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 24880) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-07-27 |