Individual
ANH Q NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(952) 288-6808
Mailing address
12312 WINDSOR CT, BURNSVILLE, MN 55337-7556
(952) 288-6808
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0000000000
TX
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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