| NPI | 1831732965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAN NGUYEN President 817-707-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |