NPI | 1619276185 |
---|---|
Doing Business As | OAK CLIFF CHILDRENS DENTIST |
Entity Type | Organization |
Authorized Contact | SUNEETHA BOPPANA Managing Member 214-390-9960 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22791) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2012-03-20 |