| NPI | 1205360252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVESH BHAKTA Owner 512-825-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX TX 24465) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |