| Bich-huong T. Nguyen Dmd, Inc. | |
|
12989 Jupiter Rd Ste 106 Dallas TX 75238-5248 | |
| (214) 343-9115 | |
| (214) 343-2779 |
| Full Name | Bich-huong T. Nguyen Dmd, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12989 Jupiter Rd Ste 106, Dallas, Texas |
| Authorized Official Name and Position | Bich-huong T Nguyen (PRESIDENT) |
| Authorized Official Contact | 2143439115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bich-huong T. Nguyen Dmd, Inc. 12989 Jupiter Rd Ste 106 Dallas TX 75238-5248 Ph: (214) 343-9115 | Bich-huong T. Nguyen Dmd, Inc. 12989 Jupiter Rd Ste 106 Dallas TX 75238-5248 Ph: (214) 343-9115 |
| NPI Number | 1073934345 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073934345 | NPI | - | NPPES |
| 090980601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13210 (Texas) | Primary |
| 261QD0000X | Clinic/center - Dental | 21448 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | 12871 (Texas) | Secondary |
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