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Organization

PORTRAIT DENTAL PLLC

Active
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Organization

PORTRAIT DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MINH DUC NGUYEN DDS (MEMBER)
(832) 483-4583
Entity
Organization

Contact information

Practice address
27131 CINCO RANCH BLVD, SUITE #250, KATY, TX 77494
(832) 483-4583
Mailing address
27131 CINCO RANCH BLVD, SUITE #250, KATY, TX 77494

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24171
TX

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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