| NPI | 1952824468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIN PARK Owner Dentist 817-522-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29792) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |