| NPI | 1790928604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P CHANG President 972-540-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 23754) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 23754) |
| 1223P0700X Dentist, Prosthodontics (Licence: TX 23754) | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |