| NPI | 1457512287 |
|---|---|
| Doing Business As | ADVANCED FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PHU H LE President 817-337-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17656) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |