# HOMETOWN DENTAL OF FULSHEAR

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

## Provider details

- **NPI number:** 1841047628
- **Authorized official:** CALVIN NGO DMD (MANAGING MEMBER)
- **Authorized official phone:** (832) 290-3936

## Contact information

- **Practice address:** 28830 FM 1093, SUITE 120, FULSHEAR, TX 77441
- **Practice address phone:** (832) 789-1553
- **Mailing address:** 17474 BAYFLOWER, CONROE, TX 77385-2238
- **Mailing address phone:** (832) 290-3936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2024
- **Last updated:** 05/01/2024