NPI | 1659560761 |
---|---|
Doing Business As | JUPITER KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | SALEH ISAM TAIYM President 972-396-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21706) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2007-10-15 |