| NPI | 1205262425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANPHAPHONE R LINAVONG Dentist/Owner 214-823-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20505) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |