| NPI | 1265928980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARIKA LALA Dentist/Owner 817-554-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 29726) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-08-01 |