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Organization
QH ENTERPRISES, PLLC
Active
Organization
QH ENTERPRISES, PLLC
Active
Other names
Hermosa Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEU TIN NGUYEN PHAM DDS (MANAGER)
(408) 616-9175
Entity
Organization
Contact information
Practice address
4704 AIRLINE DR STE A-1, HOUSTON, TX 77022-3004
(408) 616-9175
Mailing address
10623 BELLAIRE BLVD STE C130, HOUSTON, TX 77072-5245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28275
TX
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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