NPI | 1023892304 |
---|---|
Entity Type | Organization |
Authorized Contact | FARHAD ZONOOZI Manager 915-493-9784 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
1223P0221X Dentist, Pediatric Dentistry | |
1223E0200X Dentist, Endodontics | |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-10-14 |