| NPI | 1679724595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIASGAR YUSUF MOGRI Owner 281-256-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 21008) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |