| NPI | 1033038427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SIEW Owner And Managing Member 915-255-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-07-15 |