MEDICARE: HAPPY DENTAL P.A.

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	122300000X	Dentist	20730	TX

General Provider Information

NPI Number	:	1861661563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY DENTAL P.A.

Provider Business Mailing Address
First Line	:	11510 GULF FWY
Second Line	:	# I
City	:	HOUSTON
State	:	TX
Zip	:	77034-3530
Country	:	US
Telephone Number	:	713-378-4322
Fax Number	:	713-378-4390

Provider Business Practice Location Address
First Line	:	11510 GULF FREEWAY
Second Line	:	# I
City	:	HOUSTON
State	:	TX
Zip	:	77034-3530
Country	:	US
Telephone Number	:	713-378-4322
Fax Number	:	713-378-4390

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOA KHUONG BUI
Credential	:	D.D.S.
Telephone Number	:	713-378-4322

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	02/27/2008

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Directions to “HAPPY DENTAL P.A. ” Practice Location

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