| NPI | 1124351150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENESH KHULLAR President 501-753-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3448) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |