| NPI | 1457132425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHNAVROOP CHATHA Managing Member 512-960-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-10-01 |