| NPI | 1154869717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDYA SURI Dentist/Owner 214-703-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24367) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-05-09 |