| NPI | 1982561866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY NGUYEN Owner 832-283-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-15 |