| NPI | 1285130864 |
|---|---|
| Doing Business As | GRAND MISSION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SUNG Owner 281-789-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 261QD0000X Clinic/Center, Dental (Licence: TX 30800) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-11-07 |