| NPI | 1982089256 |
|---|---|
| Doing Business As | AGUA DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAHROUZ AKHAVAN President 956-380-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 25304) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |