| NPI | 1548521065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENG YEN Owner 915-857-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24865) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-09-19 |