| NPI | 1518791110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY QUE TRIEU Owner 214-683-6997 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-02 |