| NPI | 1851721922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAJURI RAMCHAND Managing Member 469-734-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23850) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 22768) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-12-03 |