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Organization

CENTRA ONE DENTAL PA

Active
Other names
Centra Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHY NGUYEN D.D.S (DENTIST/OWNER)
(832) 289-8803
Entity
Organization

Contact information

Practice address
4318 W FUQUA ST, HOUSTON, TX 77045-6204
(713) 433-7500
Mailing address
4318 W FUQUA ST, HOUSTON, TX 77045-6204
(713) 433-7500

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25748
TX

Other

Enumeration date
12/13/2012
Last updated
01/16/2013
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