NPI | 1447520713 |
---|---|
Doing Business As | SAFARI CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | NIEKU MANSHADI President 979-778-6010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2012-01-04 |
Last Update Date | 2014-03-14 |