| NPI | 1003136128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURAG PATEL Owner 210-337-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23218) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |