| NPI | 1841559440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURAG R PATEL Owner 682-286-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |