| NPI | 1780186205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MASSEEH EMAMI Owner 918-695-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: TX 33767) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |