| NPI | 1972769487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSAIN DEZHAM Dentist 972-820-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19711) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |