| NPI | 1336254325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYEN TU HUYNH Managing Dentist 214-375-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 19841) |
| 1223G0001X Dentist, General Practice | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-10-21 |