| NPI | 1730469354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRACHI P DEORE President 972-315-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 22955) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |