| NPI | 1871615302 |
|---|---|
| Doing Business As | HOME TOWN DENTAL OF MESQUITE PC |
| Entity Type | Organization |
| Authorized Contact | MONJIT GURAM Director 817-528-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15987) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-11-19 |