| NPI | 1568980886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD FAIZAN ALI Owner 469-850-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27330) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |