# GOLDEN FULTON DENTAL

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

## Provider details

- **NPI number:** 1649269127
- **Authorized official:** DR. HIEU QUANG HUYNH (OWNER)
- **Authorized official phone:** (832) 488-2775

## Contact information

- **Practice address:** 7700 FULTON ST STE A, HOUSTON, TX 77022-3642
- **Practice address phone:** (713) 697-0604
- **Practice address fax:** (713) 697-1303
- **Mailing address:** 7700 FULTON ST STE A, HOUSTON, TX 77022-3642
- **Mailing address phone:** (713) 697-0604
- **Mailing address fax:** (713) 697-1303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 19895 | TX | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 03/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B1989503 | DELTA DENTAL CA, CHIPS | TX |
