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Organization
SWAN DENTAL PLLC
Active
Organization
SWAN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY NGUYEN (PART OWNER)
(832) 620-5630
Entity
Organization
Contact information
Practice address
10581 S HIGHWAY 6, SUITE 105, SUGAR LAND, TX 77498-4906
(832) 243-4169
Mailing address
4102 MARQUETTE ST, HOUSTON, TX 77005-3521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21866
TX
1223G0001X
General Practice Dentistry
Primary
23417
TX
1223G0001X
General Practice Dentistry
23443
TX
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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