| NPI | 1447605803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD RAGHID ALOLABI Co Owner 469-387-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24185) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |