| NPI | 1447580345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HSE CHAN Dentist 800-578-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21094) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 22370) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |