| NPI | 1538289178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHA TRUNG DUONG Dentist, Owner 405-943-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 55638) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |