NPI | 1336492156 |
---|---|
Doing Business As | AWESOME SMILES |
Entity Type | Organization |
Authorized Contact | KATHY PHAM NGUYEN Dentist/Owner 832-289-8803 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25748) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2014-04-29 |