| NPI | 1922149392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LY President 214-275-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21049) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21399) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |