| NPI | 1821300567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE T. NGUYEN Partner 972-772-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19044) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 19084) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |