Organization
WILLOW CREEK SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM NGUYEN DDS (MANAGER)
(713) 858-6438
Entity
Organization
Contact information
Practice address
9166 FARM TO MARKET 2920 RD, SUITE 900, TOMBALL, TX 77375
(281) 516-8575
Mailing address
11146 HILLSIDE GLEN TRL, HOUSTON, TX 77065-5022
(713) 858-6438
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30350
TX
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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