| Premier Dentist Group, Pa | |
|
5420 Bellaire Blvd Bldg 4 Bellaire TX 77401-3957 | |
| (713) 432-0900 | |
| Not Available |
| Full Name | Premier Dentist Group, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5420 Bellaire Blvd Bldg 4, Bellaire, Texas |
| Authorized Official Name and Position | Kim Anh Thi Nguyen (DENTIST) |
| Authorized Official Contact | 7134320900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dentist Group, Pa 5420 Bellaire Blvd Bldg 4 Bellaire TX 77401-3957 Ph: () - | Premier Dentist Group, Pa 5420 Bellaire Blvd Bldg 4 Bellaire TX 77401-3957 Ph: (713) 432-0900 |
| NPI Number | 1144415811 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144415811 | NPI | - | NPPES |
| G60196-02 | Other | TX | CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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