Organization
HOLLYWOOD CORPORATION
Active
Other names
Hollywood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VI G HUYNH DMD (PRESIDENT)
(281) 894-7210
Entity
Organization
Contact information
Practice address
9211 WEST ROAD, STE. 151, HOUSTON, TX 77064
(281) 894-7210
Mailing address
9211 WEST ROAD, STE. 151, HOUSTON, TX 77064
(281) 894-7210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2117902
TEXAS CHIP
TX
Enumeration date
05/04/2007
Last updated
08/22/2020
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