| NPI | 1982736864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT VIET TO Manager 972-306-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 21697) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |