NPI | 1518745488 |
---|---|
Entity Type | Organization |
Authorized Contact | OSAMA SIDDIQUI Owner/Provider 214-493-1216 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-09-20 |
Last Update Date | 2023-09-20 |