| NPI | 1386950962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMMINE GABRIEL YAMMINE Principal 1281-318-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20575) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |