| NPI | 1164555637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOCTUYEN NGUYEN President 972-496-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19108) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |