| NPI | 1649515529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNJAN DHIR Director 903-723-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |