| NPI | 1972945020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATINDER S JAWANDHA Owner 417-379-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1855446) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |