| NPI | 1992102396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMEELA RANI BHUPATIRAJU Dr 972-233-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22498) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |