| NPI | 1124178827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NGUYEN Office Manager 214-827-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21453) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-02-28 |