| Hollywood Dental | |
|
9211 West Road, Ste. 151 Houston TX 77064 | |
| (281) 894-7210 | |
| Not Available |
| Full Name | Hollywood Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9211 West Road, Ste. 151, Houston, Texas |
| Authorized Official Name and Position | Vi G Huynh (PRESIDENT) |
| Authorized Official Contact | 2818947210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Dental 9211 West Road, Ste. 151 Houston TX 77064 Ph: (281) 894-7210 | Hollywood Dental 9211 West Road, Ste. 151 Houston TX 77064 Ph: (281) 894-7210 |
| NPI Number | 1164634069 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164634069 | NPI | - | NPPES |
| B2117902 | Other | TX | TEXAS CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21179 (Texas) | Primary |
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