| NPI | 1851667729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMITA CHAKRABORTI Owner 512-619-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23056) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |