Organization
AVENUE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGUYEN BAO HATHUC DDS (PRESIDENT)
(713) 670-6116
Entity
Organization
Contact information
Practice address
2602 ELDRIDGE PKWY STE B, HOUSTON, TX 77082-6874
(713) 670-6116
Mailing address
28010 HOLLYFARE DR, KATY, TX 77494-5144
(713) 670-6116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24925
TX
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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