# WILLOW CREEK SMILES PLLC

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

## Provider details

- **NPI number:** 1467943266
- **Authorized official:** DR. TOM NGUYEN DDS (MANAGER)
- **Authorized official phone:** (713) 858-6438

## Contact information

- **Practice address:** 9166 FARM TO MARKET 2920 RD, SUITE 900, TOMBALL, TX 77375
- **Practice address phone:** (281) 516-8575
- **Mailing address:** 11146 HILLSIDE GLEN TRL, HOUSTON, TX 77065-5022
- **Mailing address phone:** (713) 858-6438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30350 | TX | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 05/29/2018
