| NPI | 1306490156 |
|---|---|
| Doing Business As | PURE THEORY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUKHRAJ KHASSA Manager 269-753-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |