| NPI | 1689917106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE TRUONG President 512-382-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19143) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |