NPI | 1326488032 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN H WONG Doctor/Owner 972-668-5608 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19058) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 19418) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2013-06-26 |