Organization
STAFFORD DENTISTS PA
Active
Other names
FIVE STAR DENTISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINHLY DUY NGUYEN DDS (CEO)
(281) 564-0117
Entity
Organization
Contact information
Practice address
11615 SOUTHWEST FWY, HOUSTON, TX 77031
(281) 564-0117
(281) 564-0132
Mailing address
11615 SOUTHWEST FWY, HOUSTON, TX 77031
(281) 564-0117
(281) 564-0132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331530101
—
TX
Enumeration date
08/29/2014
Last updated
01/15/2025
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