| NPI | 1942914965 |
|---|---|
| Doing Business As | PRESTIGE DENTAL OF HUMBLE |
| Entity Type | Organization |
| Authorized Contact | TU M DOAN CEO 469-684-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |