| NPI | 1942683511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMCUC T VO Dds/ President 832-380-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 18974) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |