| NPI | 1417276692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT CONG TRAN Owner 214-208-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17872) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |