| NPI | 1457711764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAURAV PURI Owner Dentist 682-234-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24365) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |