| NPI | 1891294740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABHISHEK BHAUMIK Owner 469-384-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 29607) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |