| NPI | 1124423942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYENDRA PATEL President 972-869-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21725) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |