| NPI | 1043540305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEU TAN PHAN President 972-870-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 23356) |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2011-07-19 |