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 |