NPI | 1356869218 |
---|---|
Entity Type | Organization |
Authorized Contact | REYNA M NGUYEN Oral And Maxillofacial Surgeon 409-729-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 28778) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2022-07-21 |