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Organization
WALLISVILLE DENTAL ASSOCIATES, PA
Active
Organization
WALLISVILLE DENTAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUONG T NGUYEN D.D.S. (DENTIST)
(713) 453-2500
Entity
Organization
Contact information
Practice address
14570 WALLISVILLE ROAD, SUITE 2, HOUSTON, TX 77049
(713) 453-2500
(713) 453-2501
Mailing address
14570 WALLISVILLE ROAD, SUITE 2, HOUSTON, TX 77049
(713) 453-2500
(713) 453-2501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21151
TX
1223G0001X
General Practice Dentistry
22767
TX
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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