| NPI | 1083126916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DUONG Owner 713-516-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28359) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |