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Organization
SOUTHWEST FAMILY DENTAL 59 LLC
Active
Organization
SOUTHWEST FAMILY DENTAL 59 LLC
Active
Other names
Southwest Dentists 2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH NGUYEN D.D.S (OWNER)
(281) 204-5468
Entity
Organization
Contact information
Practice address
8324 SOUTHWEST FWY, HOUSTON, TX 77074-1603
(713) 772-3499
Mailing address
8324 SOUTHWEST FWY, HOUSTON, TX 77074-1603
(713) 772-3499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19859
TX
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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