| NPI | 1225521677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK FOOK SANG LAM President 972-900-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28247) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |