NPI | 1346799962 |
---|---|
Doing Business As | LUMINOUS DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | MINHO CHANG Member 469-731-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 28125) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 29659) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2016-09-23 |