NPI | 1700146966 |
---|---|
Entity Type | Organization |
Authorized Contact | YOON H. CHANG Owner 972-242-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 27128) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2012-05-22 |