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Organization
DENTAL TREND P.A.
Active
Organization
DENTAL TREND P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMCUC T. VO D.D.S. (PRESIDENT)
(281) 477-7200
Entity
Organization
Contact information
Practice address
12220 JONES RD, SUITE C, HOUSTON, TX 77070-5265
(281) 477-7200
(281) 477-7289
Mailing address
12220 JONES RD, SUITE C, HOUSTON, TX 77070-5265
(281) 477-7200
(281) 477-7289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88D356
BCBS
TX
01
—
983207
UNITED CONCORDIA
TX
01
—
B-18974-1
CHIP
TX
Enumeration date
04/16/2007
Last updated
08/22/2020
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