| NPI | 1881915536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURAG PATEL Owner 682-365-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23218) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |