| NPI | 1609238393 |
|---|---|
| Other Name | DENTAL DEPOT |
| Entity Type | Organization |
| Authorized Contact | HIMESH I KANA Managing Member 972-795-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22129) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |