| NPI | 1962630525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY BICH DO Owner 817-308-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24477) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2022-07-21 |