NPI | 1447620554 |
---|---|
Doing Business As | DENTAL REPUBLIC |
Entity Type | Organization |
Authorized Contact | SON NAM TRAN Dentist/President 214-960-3535 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20960) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2015-10-01 |