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Organization
RADIANT DENTAL PA
Active
Organization
RADIANT DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUY NGOC NGO DMD (PRESIDENT)
(832) 419-0918
Entity
Organization
Contact information
Practice address
9325 KEMPWOOD DR, SUITE #A, HOUSTON, TX 77080-2824
(832) 419-0918
Mailing address
9325 KEMPWOOD DR, SUITE #A, HOUSTON, TX 77080-2824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23389
TX
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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