| NPI | 1306060637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA KRISHAN Dentist 972-395-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20603) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |