| NPI | 1407105406 |
|---|---|
| Doing Business As | ABC123 DENTAL |
| Entity Type | Organization |
| Authorized Contact | PETER VO Dentist 817-656-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24637) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |