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12586 Westheimer Rd Ste C Houston TX 77077-5866 | |
| (832) 466-2022 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12586 Westheimer Rd Ste C, Houston, Texas |
| Authorized Official Name and Position | Khanh Duy Truong (OWNER) |
| Authorized Official Contact | 8324662022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12906 Ridge Bank Ln Houston TX 77041-6853 Ph: (832) 466-2022 | 12586 Westheimer Rd Ste C Houston TX 77077-5866 Ph: (832) 466-2022 |
| NPI Number | 1386187904 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386187904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30299 (Texas) | Primary |
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