| NPI | 1164693040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY NGUYEN President 832-620-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23417) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |