| Fairbanks Dental Care | |
|
8380 Fairbanks N Houston Rd Houston TX 77064-7952 | |
| (713) 466-8910 | |
| (713) 466-8907 |
| Full Name | Fairbanks Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 8380 Fairbanks N Houston Rd, Houston, Texas |
| Authorized Official Name and Position | Steve Tan Nguyen (DENTIST) |
| Authorized Official Contact | 7134668910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Dental Care 8380 Fairbanks N Houston Rd Houston TX 77064-7952 Ph: (713) 466-8910 | Fairbanks Dental Care 8380 Fairbanks N Houston Rd Houston TX 77064-7952 Ph: (713) 466-8910 |
| NPI Number | 1114247640 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 06/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114247640 | NPI | - | NPPES |
| 187884501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21336 (Texas) | Primary |
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