| NPI | 1437526282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANAZ KHAVARI President/Owner 214-226-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28034) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |