NPI | 1700962982 |
---|---|
Doing Business As | TROPHY DENTAL |
Entity Type | Organization |
Authorized Contact | NGOCDIEP (DEBBIE) NGUYEN SUDBROOK Owner 972-422-5020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18141) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 18139) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2011-10-25 |