| NPI | 1073933750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN THI NGUYEN Owner 214-484-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 21120) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |