| NPI | 1609320969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE L HOANG Sole Mbr 972-808-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 18843) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |