| NPI | 1861991986 |
|---|---|
| Doing Business As | MODERN DENTISTRY OF ST. CLOUD |
| Entity Type | Organization |
| Authorized Contact | YANG HUA Owner 713-851-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn21280) |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-02-04 |