| NPI | 1639943285 |
|---|---|
| Former Legal Business Name | PARK PLACE DENTAL, P.A. |
| Entity Type | Organization |
| Authorized Contact | THU-THUY THI NGUYEN President 832-265-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-01-02 |