| NPI | 1235802414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKOO RAINA President 972-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |