| NPI | 1457897365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWETA SHETH Dentist 469-300-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: TX 24737) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2024-03-19 |