Individual
TAM LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10203 BELLAGO LN, RICHMOND, TX 77407-2626
(281) 658-0088
Mailing address
10203 BELLAGO LN, RICHMOND, TX 77407-2626
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
15262
TX
Other
Enumeration date
10/21/2014
Last updated
03/06/2018
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