| |
3310 Orlando St Houston TX 77093-4855 | |
(713) 742-5020 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 3310 Orlando St, Houston, Texas |
Authorized Official Name and Position | John Nguyen (PRESIDENT) |
Authorized Official Contact | 7139724455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
7014 Pettigrew Dr Sugar Land TX 77479-6646 Ph: (713) 972-4455 | 3310 Orlando St Houston TX 77093-4855 Ph: (713) 742-5020 |
NPI Number | 1821406281 |
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Provider Enumeration Date | 07/30/2014 |
Last Update Date | 01/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821406281 | NPI | - | NPPES |
179245902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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