| NPI | 1093067936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILAY SHAH Dentist/Owner 972-468-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2023-10-24 |