| NPI | 1255978763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRITTEJ VIRK Owner 817-251-9985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 1223X2210X Dentist, Orofacial Pain |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-06-08 |