MEDICARE: HARMONY FAMILY DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	21051	TX

General Provider Information

NPI Number	:	1508162843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY FAMILY DENTAL

Provider Business Mailing Address
First Line	:	3804 BROADWAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-3023
Country	:	US
Telephone Number	:	713-644-2494
Fax Number	:	713-644-2475

Provider Business Practice Location Address
First Line	:	3804 BROADWAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-3023
Country	:	US
Telephone Number	:	713-644-2494
Fax Number	:	713-644-2475

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THUY THOMAS TRAN
Credential	:	D.D.S.
Telephone Number	:	713-644-2494

Provider Enumeration Date	:	02/03/2011
Last Update Date	:	02/03/2011

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