| NPI | 1255766143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARABJIT KHASSA Manager 972-512-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |