| NPI | 1649744293 |
|---|---|
| Doing Business As | PRIME INTEGRATIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINAXI MIRKAL Dentist/Owner 972-885-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |