| NPI | 1982257689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA KRISHAN Dentist 972-395-0150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |