Organization
AUBURN LAKES PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THALIDA THUY DONG DMD, MS (PRESIDENT)
(832) 953-3100
Entity
Organization
Contact information
Practice address
6922 W RAYFORD RD, SPRING, TX 77389-3003
(832) 953-3100
(832) 953-3101
Mailing address
6922 W RAYFORD RD, SPRING, TX 77389-3003
(832) 953-3100
(832) 953-3101
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
25863
TX
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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