| NPI | 1619920188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEERAV S JAYASWAL Dentist 972-335-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23924) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 19056) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-10-02 |