NPI | 1629223946 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNH THY PHAM Owner President 214-718-7880 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 19887) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2008-12-01 |