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Organization
WOODBRIDGE DENTAL, P.A.
Active
Organization
WOODBRIDGE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW P TRAN D.D.S. (OWNER)
(832) 643-2048
Entity
Organization
Contact information
Practice address
418 OLMSTEAD PARK DR, SUGAR LAND, TX 77479-4440
(832) 643-2048
Mailing address
11627 S HIGHWAY 6, SUGAR LAND, TX 77498
(832) 643-2048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168315302
—
TX
Enumeration date
06/07/2016
Last updated
06/07/2016
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