| NPI | 1821553447 |
|---|---|
| Doing Business As | DENTAL EXPRESS |
| Entity Type | Organization |
| Authorized Contact | ANUSHA KONERU Owner 405-212-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-06-11 |