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Organization
1ST CARE DENTAL, P.A.
Active
Organization
1ST CARE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUONGHANH HOANG DDS (PRESIDENT)
(281) 256-7331
Entity
Organization
Contact information
Practice address
29110 HIGHWAY 290, SUITE 200, CYPRESS, TX 77433-4681
(281) 256-7331
Mailing address
29110 HIGHWAY 290, SUITE 200, CYPRESS, TX 77433-4681
(281) 256-7331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305895001
—
TX
Enumeration date
02/02/2012
Last updated
11/27/2012
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