| NPI | 1205500451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILE NGUYEN Managing Partner 972-896-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-12-15 |