# DENTAL TREND P.A.

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

## Provider details

- **NPI number:** 1760607964
- **Authorized official:** DR. KIMCUC T. VO D.D.S. (PRESIDENT)
- **Authorized official phone:** (281) 477-7200

## Contact information

- **Practice address:** 12220 JONES RD, SUITE C, HOUSTON, TX 77070-5265
- **Practice address phone:** (281) 477-7200
- **Practice address fax:** (281) 477-7289
- **Mailing address:** 12220 JONES RD, SUITE C, HOUSTON, TX 77070-5265
- **Mailing address phone:** (281) 477-7200
- **Mailing address fax:** (281) 477-7289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 18974 | TX | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 88D356 | BCBS | TX |
| 01 | — | 983207 | UNITED CONCORDIA | TX |
| 01 | — | B-18974-1 | CHIP | TX |