| NPI | 1417252008 |
|---|---|
| Doing Business As | ABC 123 DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | PETER T VO Owner 817-496-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |