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779 Normandy St Suite # 113 Houston TX 77015-3599 | |
| (832) 767-3443 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 779 Normandy St, Houston, Texas |
| Authorized Official Name and Position | Kelly Nguyen Vo (PRESIDENT) |
| Authorized Official Contact | 8327673443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
779 Normandy St Suite # 113 Houston TX 77015-3599 Ph: () - | 779 Normandy St Suite # 113 Houston TX 77015-3599 Ph: (832) 767-3443 |
| NPI Number | 1689059081 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 08/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689059081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23675 (Texas) | Primary |
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