NPI | 1871833574 |
---|---|
Entity Type | Organization |
Authorized Contact | SARABJIT KAUR KHASSA Dentist 269-873-0844 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24848) |
Enumeration Date | 2013-02-18 |
Last Update Date | 2013-02-18 |