| NPI | 1386843415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSHI B. MASTER Doctor 817-306-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21050) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |