| NPI | 1881879831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEVA CHUKKAPALLI President 972-347-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21096) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |