NPI | 1285704395 |
---|---|
Doing Business As | PIONEER CROSSING DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | LAN MAI NGUYEN Dentist 817-461-5510 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 18140) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |