| NPI | 1265879019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN KIM Sole Member 832-831-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 23210) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |