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 |