| B Hou Dental Pa | |
|
2681 Macarthur Blvd Ste 101 Lewisville TX 75067-8207 | |
| (617) 319-9154 | |
| Not Available |
| Full Name | B Hou Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 2681 Macarthur Blvd Ste 101, Lewisville, Texas |
| Authorized Official Name and Position | Bo Hou (OWNER) |
| Authorized Official Contact | 6173199154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B Hou Dental Pa 2681 Macarthur Blvd Ste 101 Lewisville TX 75067-8207 Ph: () - | B Hou Dental Pa 2681 Macarthur Blvd Ste 101 Lewisville TX 75067-8207 Ph: (617) 319-9154 |
| NPI Number | 1215533534 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 7315355971 |
|---|---|
| Medicare Enrollment ID | O20210420001149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215533534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| Provider Name | Kenpan Hu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417182924 PECOS PAC ID: 5092123661 Enrollment ID: I20210420001392 |
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