| NPI | 1225668429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINYUE DAI Owner 281-376-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |