NPI | 1700117728 |
---|---|
Entity Type | Organization |
Authorized Contact | MOJAN E SAFAVI President 972-346-2992 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21289) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2010-01-15 |