| NPI | 1447526223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNAID KHAN Owner 740-803-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23085) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23671) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |