| NPI | 1124489018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSTAFA S KOPERLY President 832-436-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN00202418) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |