| NPI | 1902199763 |
|---|---|
| Other Name | FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SUSHMA LAVU President/Dentist 817-966-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24206) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |