| NPI | 1114697372 |
|---|---|
| Doing Business As | SUPER DENTISTS |
| Entity Type | Organization |
| Authorized Contact | NINA ABTAHI Manger 214-493-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-20 |