| NPI | 1578133732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKOO RAINA Dentist 972-663-5397 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-04-30 |