| NPI | 1619355435 |
|---|---|
| Doing Business As | PHANTASTIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARTA TAMARA TRAN Office Manager 713-330-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |