| |
4645 Hwy 6 Suite G Sugar Land TX 77478 | |
(281) 494-8188 | |
(281) 494-8190 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4645 Hwy 6, Sugar Land, Texas |
Authorized Official Name and Position | Andrew Viet Huy La (DENTIST OWNER) |
Authorized Official Contact | 2814948188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4645 Hwy 6 Suite G Sugar Land TX 77478 Ph: (281) 494-8188 | 4645 Hwy 6 Suite G Sugar Land TX 77478 Ph: (281) 494-8188 |
NPI Number | 1104992726 |
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Provider Enumeration Date | 11/27/2006 |
Last Update Date | 06/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104992726 | NPI | - | NPPES |
140595301 | Medicaid | TX | |
140595302 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 18006 (Texas) | Primary |
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 |