| NPI | 1235636960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA AGARWAL Owner/Dentist 423-943-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27214) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |