NPI | 1619241619 |
---|---|
Doing Business As | VIVA DENTAL |
Entity Type | Organization |
Authorized Contact | DIEP BICH TRUONG Owner/Dentist 214-893-6109 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 21276) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2012-04-03 |