# DUONG DENTAL P.C.

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

## Provider details

- **NPI number:** 1801819545
- **Authorized official:** DR. PHONG QUOC DUONG DDS (PRESIDENT)
- **Authorized official phone:** (281) 447-1223

## Contact information

- **Practice address:** 11210 - B VETERANS MEMORIAL, HOUSTON, TX 77067
- **Practice address phone:** (281) 447-1223
- **Practice address fax:** (281) 447-8070
- **Mailing address:** 11210 VETERANS MEMORIAL, SUITE B, HOUSTON, TX 77067-3758
- **Mailing address phone:** (281) 447-1223
- **Mailing address fax:** (281) 447-8070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20629 | TX | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 89D478 | BLUECROSS & BLUESHIELD | TX |
| 01 | — | B-20629-1 | TEXAS CHIP | TX |