Organization
FAIRBANKS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE TAN NGUYEN D.D.S. (DENTIST)
(713) 466-8910
Entity
Organization
Contact information
Practice address
8380 FAIRBANKS N HOUSTON RD, HOUSTON, TX 77064-7952
(713) 466-8910
(713) 466-8907
Mailing address
8380 FAIRBANKS N HOUSTON RD, HOUSTON, TX 77064-7952
(713) 466-8910
(713) 466-8907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187884501
—
TX
Enumeration date
06/07/2010
Last updated
06/07/2010
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