| NPI | 1720434202 |
|---|---|
| Doing Business As | BRUSH BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | PHUONG QUOC PHAM Owner 713-459-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 29084) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2019-06-07 |