| NPI | 1912629809 |
|---|---|
| Doing Business As | HAWK PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAHENDRA D MAVALLI Pediatric Dentist 469-961-7082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |