| NPI | 1518311620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRUPA THAKOR PATEL President / Owner 402-216-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30075) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 30075) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-11-10 |