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8505 Gulf Fwy Suite D Houston TX 77017-5085 | |
| (832) 526-3839 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8505 Gulf Fwy, Houston, Texas |
| Authorized Official Name and Position | Twee Nguyen (MANAGER) |
| Authorized Official Contact | 8325263839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 721624 Houston TX 77272-1624 Ph: () - | 8505 Gulf Fwy Suite D Houston TX 77017-5085 Ph: (832) 526-3839 |
| NPI Number | 1710252697 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 03/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710252697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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