| NPI | 1023749447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUNIR ISKANDAR Surgical Prosthodonist 972-258-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-07-08 |