NPI | 1023300621 |
---|---|
Entity Type | Organization |
Authorized Contact | SANJEEV KUMAR GOPALAKRISHNAN Owner/President 832-431-7286 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22113) |
Enumeration Date | 2011-05-15 |
Last Update Date | 2012-01-03 |