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10761 Gulf Fwy Ste. B Houston TX 77034 | |
| (281) 301-1111 | |
| (832) 623-7815 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10761 Gulf Fwy, Houston, Texas |
| Authorized Official Name and Position | Joseph D Nguyen (OWNER) |
| Authorized Official Contact | 2813011111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10761 Gulf Fwy Ste. B Houston TX 77034 Ph: (281) 301-1111 | 10761 Gulf Fwy Ste. B Houston TX 77034 Ph: (281) 301-1111 |
| NPI Number | 1134637549 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134637549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24752 (Texas) | Primary |
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