Organization
STAR DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN VU DDS (PRESIDENT)
(713) 541-9007
Entity
Organization
Contact information
Practice address
9798 BELLAIRE BLVD, SUITE C, HOUSTON, TX 77036-3427
(713) 541-9007
Mailing address
9798 BELLAIRE BLVD, SUITE C, HOUSTON, TX 77036-3427
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X-DENTIST
DENTAL PROVIDER
TX
Enumeration date
09/26/2011
Last updated
09/26/2011
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