| NPI | 1710860770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ALSWAITI Owner 940-218-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-09-06 |