NPI | 1912123092 |
---|---|
Former Legal Business Name | KAVITHA GINJUPALLI DDS PC |
Entity Type | Organization |
Authorized Contact | KAVITHA GINJUPALLI President 979-480-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19499) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-08-12 |