| NPI | 1568728269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAIVAN KEVIN AFKAMI Owner 817-577-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20467) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |