| NPI | 1326106048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRTIBALA SAMIR DESAI Dentist 512-248-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18409) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-12-02 |