| NPI | 1972011690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHU DANG Owner 214-886-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2024-01-25 |