NPI | 1982246690 |
---|---|
Doing Business As | SD TEXARKANA, PLLC |
Entity Type | Organization |
Authorized Contact | LYNHTHY T PHAM Owner 214-466-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-10-14 |