| NPI | 1104837392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE THI NGUYEN Co Owner 972-516-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19044 and 19084) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-12-05 |