| NPI | 1538565627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIKANTH CHERUKADU VASALAA Owner 210-910-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27122) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |