| 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 |