| NPI | 1740056944 |
|---|---|
| Doing Business As | LONGHORN DENTAL |
| Entity Type | Organization |
| Authorized Contact | ETHAN TRUONG Owner/Dentist 678-200-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |