| NPI | 1174820096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN NGUYEN President 214-371-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 21120) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |