NPI | 1770081986 |
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Doing Business As | MANGUM PARK DENTISTRY FOR CHILDREN |
Entity Type | Organization |
Authorized Contact | JOHN S CHO President 713-956-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 30592) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2020-03-06 |