| NPI | 1750540753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASHODHARA SINGH Owner 254-698-4935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-06-20 |