| NPI | 1376925420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT M PATEL Owner / Doctor 972-242-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 26053) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |