| NPI | 1144639824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMNANG LIM Owner 832-377-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |