| NPI | 1629441266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHUT CORY NGUYEN Doctor/President 214-357-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 21686) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-06-17 |