| NPI | 1043575129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUONG DO Owner 817-966-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23837) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23841) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |