| NPI | 1417569807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVANEETHA BRINDHA NATCHIMUTHU Managing Member 972-900-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-03-03 |