| NPI | 1255867701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAURAV PURI Owner/Dentist 806-897-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24365) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |