| NPI | 1386966729 |
|---|---|
| Doing Business As | ACTIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KALPESH PATEL Dentist 972-556-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23031) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2024-06-13 |