# AGUA DENTAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215256722
- **Authorized official:** DR. NHUT NGOC NGUYEN D.D.S. (PRESIDENT)
- **Authorized official phone:** (469) 867-3553

## Contact information

- **Practice address:** 843 W MILLER RD, GARLAND, TX 75041-1811
- **Practice address phone:** (972) 864-0222
- **Practice address fax:** (972) 864-0200
- **Mailing address:** 843 W MILLER RD, GARLAND, TX 75041-1811
- **Mailing address phone:** (972) 864-0222
- **Mailing address fax:** (972) 864-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21686 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2010
- **Last updated:** 05/24/2010