| NPI | 1750789145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAITRA SHANTHAGOWDA ARAKERE President 281-363-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2016-12-06 |