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 |