NPI | 1952578551 |
---|---|
Doing Business As | FIREWHEEL DENTISTRY |
Entity Type | Organization |
Authorized Contact | UYEN PHUONG THAI President 972-276-5025 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18187) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 18159) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |