| NPI | 1861761553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGHA KARIMI President 210-264-8536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23632) |
| Enumeration Date | 2011-12-24 |
| Last Update Date | 2011-12-24 |