| NPI | 1396301131 |
|---|---|
| Former Legal Business Name | ATRIUM MODERN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MYKE NGUYEN Owner 972-686-5401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |