| NPI | 1801040993 |
|---|---|
| Doing Business As | GRAND PRAIRIECHILDRENS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YOON K TAK President 972-522-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23670) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2009-07-22 |