| NPI | 1154470003 |
|---|---|
| Former Legal Business Name | MEDALLION SMILEY DENTAL, PLLC |
| Entity Type | Organization |
| Authorized Contact | LYNH THY T PHAM President/Owner 214-466-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19887) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-12-29 |