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 |