| NPI | 1164935060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHI VINAYAK MUTHAL Dentist 682-710-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 29858) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |