| NPI | 1962617993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEN THI NGOC TRAN Dentist 972-669-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19373) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2020-08-22 |