| NPI | 1265304893 |
|---|---|
| Doing Business As | PROACTIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BOBBY JIVNANI President CEO 972-781-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-29 |