| NPI | 1457840100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INSIYA SABOOWALA President 469-247-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 60720) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |