| NPI | 1407256647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSHMI DUTTA Owner/Provider 210-888-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25259) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-26 |