| NPI | 1639610181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LIEN General Dentist 214-893-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30385) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |