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Organization
HOLLYWOOD DENTIST FOUR
Active
Organization
HOLLYWOOD DENTIST FOUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M. TANG D.D.S (OWNER)
(713) 637-8000
Entity
Organization
Contact information
Practice address
12620 WOODFOREST BLVD STE 420A, HOUSTON, TX 77015-3643
(713) 637-8000
(713) 637-6558
Mailing address
12620 WOODFOREST BLVD STE 420A, HOUSTON, TX 77015-3643
(713) 637-8000
(713) 637-6558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30127
TX
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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