| NPI | 1093196644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOAI C. PHAM Doctor/Owner 512-219-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18096) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |