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 |