| NPI | 1205456696 |
|---|---|
| Doing Business As | PECAN ST. DENTAL |
| Entity Type | Organization |
| Authorized Contact | PRABHNAVROOP SINGH CHATHA Managing Member 512-960-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |