| NPI | 1336628890 |
|---|---|
| Doing Business As | PRIME DENTAL GRAND PRAIRIE |
| Entity Type | Organization |
| Authorized Contact | AN QUOC LE Co Founder 832-244-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22204) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |