| NPI | 1952759631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL TAKASHI CHOY Owner 972-793-0735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 29352) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |