NPI | 1760752869 |
---|---|
Entity Type | Organization |
Authorized Contact | ANIL KUMAR REDDY Doctor/Owner 214-213-8966 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17965) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |