| NPI | 1285390112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAI VU Physician 214-843-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2022-05-24 |