| NPI | 1790117646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOGESH T PATEL Owner 214-342-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 20147) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2014-09-25 |