| NPI | 1366115677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAEID ABBASIYAN Doctor 214-960-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2022-07-27 |