| NPI | 1174975338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HUNG LINTAKOON Member 512-680-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA de60229140) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |