| NPI | 1316080088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WONG General Partner 713-861-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15764) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 15415) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2019-05-29 |