| NPI | 1043531841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYEN TU HUYNH President 469-655-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 24546) |
| 208D00000X General Practice | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-10-21 |