| NPI | 1922333814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSHIN REZVANI Owner 214-383-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 22161) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |