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NPI Code Detail

MEDICARE: ISSY DENTAL COMPANY

MEDICARE: ISSY DENTAL COMPANY
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
1122300000XDentist23652TX

General Provider Information

NPI Number : 1760723688
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISSY DENTAL COMPANY
Provider Business Mailing Address
First Line : PO BOX 842156
Second Line :
City : HOUSTON
State : TX
Zip : 77284-2156
Country : US
Telephone Number : 832-413-2944
Fax Number :
Provider Business Practice Location Address
First Line : 8420 HIGHWAY 6 N
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2004
Country : US
Telephone Number : 832-413-2944
Fax Number :
Authorized Official
Title or Position : CEO
Name : SON NGUYEN BUI
Credential : D.M.D.
Telephone Number : 832-413-2944
Provider Enumeration Date : 03/04/2013
Last Update Date : 03/04/2013

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Directions to “ISSY DENTAL COMPANY ” Practice Location

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