| NPI | 1891707436 |
|---|---|
| Other Name | MDA DENTIST |
| Entity Type | Organization |
| Authorized Contact | EMILY VAN KHANH LE Director 713-468-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22808) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 22088) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |