| Portrait Dental Pllc | |
|
27131 Cinco Ranch Blvd Suite #250 Katy TX 77494 | |
| (832) 483-4583 | |
| Not Available |
| Full Name | Portrait Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 27131 Cinco Ranch Blvd, Katy, Texas |
| Authorized Official Name and Position | Minh Duc Nguyen (MEMBER) |
| Authorized Official Contact | 8324834583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portrait Dental Pllc 27131 Cinco Ranch Blvd Suite #250 Katy TX 77494 Ph: () - | Portrait Dental Pllc 27131 Cinco Ranch Blvd Suite #250 Katy TX 77494 Ph: (832) 483-4583 |
| NPI Number | 1023486503 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023486503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24171 (Texas) | Primary |
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