| NPI | 1770182701 |
|---|---|
| Former Legal Business Name | SUMMIT POINT DENTAL AND IMPLANT CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | SASAN KHODABAKHSH Dentist / Owner 972-975-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-01-23 |