| NPI | 1710460688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEM H NGUYEN General Dentist 817-900-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 32172) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2021-05-26 |