NPI | 1811423379 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH S JUNG President 972-242-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21703) |
Enumeration Date | 2017-05-03 |
Last Update Date | 2017-05-03 |