| NPI | 1083816458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG T NGUYEN Dentist 713-453-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21151) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22767) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |