| NPI | 1417491994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THALIDA THUY DONG President 832-953-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: TX 25863) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |