| NPI | 1053512061 |
|---|---|
| Doing Business As | LA DENTAL III |
| Entity Type | Organization |
| Authorized Contact | THUC M LA President 281-568-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 19080) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |