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Organization
SUPREME DENTISTRY PLLC
Active
Organization
SUPREME DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NGUYEN (OWNER)
(832) 282-6231
Entity
Organization
Contact information
Practice address
5900 INTERSTATE 45 N, SUITE #104,105, HOUSTON, TX 77076-4039
(832) 282-6231
Mailing address
614 CHARLESTON HEIGHTS LN, SUGAR LAND, TX 77479-3483
(832) 282-6231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24752
TX
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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