| NPI | 1164782405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURAG R PATEL Owner 214-943-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23218) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |