| NPI | 1861234759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHOU CHEN Owner 972-241-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-07-11 |