| NPI | 1740972314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHOI Periodontist 214-592-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-02-19 |