| NPI | 1497912661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIN TRUONG TRAN President 817-292-6203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19770) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |