Organization
CY-FAIR DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MOO NGUYEN D.D.S. (OWNER-DENTIST)
(281) 970-2277
Entity
Organization
Contact information
Practice address
11811 FM 1960 RD W, SUITE #185, HOUSTON, TX 77065-3827
(281) 970-2277
(281) 970-2960
Mailing address
11811 FM 1960 RD W, SUITE #185, HOUSTON, TX 77065-3827
(281) 970-2277
(281) 970-2960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87D248
BCBSOFTX
TX
Enumeration date
01/02/2008
Last updated
01/02/2008
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