NPI | 1538534045 |
---|---|
Entity Type | Organization |
Authorized Contact | CAM NGOC T. DONG President 443-889-1236 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 31111) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-09 |