| NPI | 1992260426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY JOSEPH Owner Dentist 832-847-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-04-03 |