| NPI | 1386811503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINH M NGUYEN President 817-701-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22809) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-07-14 |