| NPI | 1992184105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE TURKS Manager 713-476-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 13973) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 12238) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |