| NPI | 1710109889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEU NGUYEN President 281-530-9947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-10-03 |