| NPI | 1427677517 | 
|---|---|
| Other Name | PURE HOLISTIC DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | KRUPA GEORGE President 979-732-0738 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2020-04-09 | 
| Last Update Date | 2025-02-25 |