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Organization

DENT-O-CARE

Active
Other names
Dental Etc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CUC TRUONG (OWNER)
(281) 487-7774
Entity
Organization

Contact information

Practice address
5871 FAIRMONT PKWY, PASADENA, TX 77505-3907
(281) 487-7774
(281) 487-1188
Mailing address
5871 FAIRMONT PKWY, PASADENA, TX 77505-3907
(281) 487-7774
(281) 487-1188

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20650
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167196801
TX
Enumeration date
05/07/2008
Last updated
05/07/2008
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