| NPI | 1528892858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRISHKUMAR CHAUDHARI Dentist 682-227-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-03-20 |