| NPI | 1750690053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEV GOPALAKRISHNAN President 210-822-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 0022113) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2011-05-19 |