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12921 West Bellfort Ave Sugar Land TX 77478-1838 | |
(281) 240-1177 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 12921 West Bellfort Ave, Sugar Land, Texas |
Authorized Official Name and Position | Huong Kim Nguyen (OWNER) |
Authorized Official Contact | 2812401177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12921 W Bellfort Ave Sugar Land TX 77478-1838 Ph: (281) 240-1177 | 12921 West Bellfort Ave Sugar Land TX 77478-1838 Ph: (281) 240-1177 |
NPI Number | 1891354072 |
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Provider Enumeration Date | 06/11/2019 |
Last Update Date | 01/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891354072 | NPI | - | NPPES |
1396365920 | Medicaid | TX | |
1831258508 | Medicaid | TX | |
1861554198 | Medicaid | TX | |
1891354072 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Dental Specialist Of Texas Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15200 Southwest Fwy Ste 120, Sugar Land, TX 77478 Phone: 281-494-2477 | |
Avalon Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Williams Trace Blvd, Ste 108, Sugar Land, TX 77478 Phone: 281-240-5559 Fax: 281-240-5557 |