# GOLDEN CRESCENT FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1932453164
- **Authorized official:** VINH NGO (PRESIDENT)
- **Authorized official phone:** (212) 671-2213

## Contact information

- **Practice address:** 1505 E RIO GRANDE ST, VICTORIA, TX 77901-7396
- **Practice address phone:** (903) 805-6574
- **Mailing address:** 4055 HOGAN DR, \#3201, TYLER, TX 75709-6930

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2012
- **Last updated:** 12/12/2012