| NPI | 1750784286 |
|---|---|
| Former Legal Business Name | TLC DENTISTRY OF FORT WORTH, LLC |
| Entity Type | Organization |
| Authorized Contact | NHI LAM Owner 972-668-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23128) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |