NPI | 1306400411 |
---|---|
Doing Business As | DENTAL DEPOT OF LITTLE ELM |
Entity Type | Organization |
Authorized Contact | HIMESH I KANA Chief Executive Officer 729-758-8999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-04-24 |
Last Update Date | 2019-11-22 |