| NPI | 1104273341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAN CHI LE Managing Member 214-350-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22755) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |