Organization
GOLDEN FULTON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEU QUANG HUYNH (OWNER)
(832) 488-2775
Entity
Organization
Contact information
Practice address
7700 FULTON ST STE A, HOUSTON, TX 77022-3642
(713) 697-0604
(713) 697-1303
Mailing address
7700 FULTON ST STE A, HOUSTON, TX 77022-3642
(713) 697-0604
(713) 697-1303
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B1989503
DELTA DENTAL CA, CHIPS
TX
Enumeration date
10/18/2005
Last updated
03/23/2009
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