| NPI | 1730441692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BUI Part Owner 214-924-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25625) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 26251) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |