Individual
HUY THANH DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1309 CADBURY LN, KELLER, TX 76248-7205
(806) 543-0031
Mailing address
1309 CADBURY LN, KELLER, TX 76248-7205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36683
TX
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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