| NPI | 1346759487 |
|---|---|
| Doing Business As | ODESSA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEERTHI MIRYALA Member 832-762-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |