| NPI | 1568126746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA NGUYEN President 832-273-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-01-11 |