| NPI | 1568625317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMADREZA DEHGHANY Dentist 972-712-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22430) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |