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 |