| NPI | 1174954424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAIVAN KEVIN AFKHAMI President 817-577-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 20467) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |