| NPI | 1003991662 |
|---|---|
| Former Legal Business Name | FAREAST VENTURE CORPORATION |
| Entity Type | Organization |
| Authorized Contact | PETER D TRAN President 972-699-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20607) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-08-09 |