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9417 Mesa Drive #a Houston TX 77028-1253 | |
| (281) 661-6611 | |
| (281) 661-6615 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9417 Mesa Drive #a, Houston, Texas |
| Authorized Official Name and Position | Huynh Hoa Nguyen (OWNER) |
| Authorized Official Contact | 4694463833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 909 Alief TX 77411-0909 Ph: (281) 661-6611 | 9417 Mesa Drive #a Houston TX 77028-1253 Ph: (281) 661-6611 |
| NPI Number | 1124458732 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124458732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24610 (Texas) | Primary |
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