| NPI | 1629502679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMALJEET GURONE BRAR Owner 214-285-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29919) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |