| NPI | 1285987149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEN TAT NGO President 281-288-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 21457) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2022-11-01 |