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NPI Code Detail

MEDICARE: DR. DAN HOANG DDS

MEDICARE: DR. DAN HOANG DDS
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
11223G0001XGeneral Practice Dentistry17250TX

General Provider Information

NPI Number : 1710009816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAN HOANG DDS
Provider Business Mailing Address
First Line : P.O. BOX 890126
Second Line :
City : HOUSTON
State : TX
Zip : 77289-0126
Country : US
Telephone Number : 281-857-2117
Fax Number : 281-461-8062
Provider Business Practice Location Address
First Line : 1205 CLEAR LAKE CITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8105
Country : US
Telephone Number : 281-488-1477
Fax Number : 281-286-2149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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