| NPI | 1417260647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHOA T LE D.D.S. 409-466-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223P0300X Dentist, Periodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |