| NPI | 1891230280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAN NGUYEN LE President 817-412-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27083) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |