| NPI | 1225282320 |
|---|---|
| Doing Business As | COWTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIM THI VAN President 954-591-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23133) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |