| NPI | 1952653073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN H NGUYEN President 972-948-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25567) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |