| NPI | 1548892508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHAN SALIM Manager 972-342-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |