| NPI | 1063786507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANGANAYAKI CHIRUMAMILLA President 214-336-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010397) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |