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 |