| NPI | 1568982429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILE NGUYEN Owner 972-896-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 22329) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-12-16 |