| NPI | 1841694460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH NGOC NGUYEN Dentist 713-771-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 24552) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2015-01-14 |