| NPI | 1558122960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOANG NGUYEN Owner 832-470-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-05-09 |