| NPI | 1295161842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY GHOSH Orthodontist 214-547-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 19161) |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2013-09-15 |