| NPI | 1174904908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BUI Dentist/Owner 469-715-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23861) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-05-22 |