| NPI | 1225336001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOANG T BUI Owner 817-465-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23999) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24816) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |