| NPI | 1992158349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURITHA CHEPYALA Owner 214-733-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 24090) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |