| NPI | 1699330902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAL SEIFELNASR Owner 469-501-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |