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NPI Code Detail

MEDICARE: SOUTHWEST DENTISTS

MEDICARE: SOUTHWEST DENTISTS
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
1122300000XDentist17906TX

General Provider Information

NPI Number : 1871764332
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST DENTISTS
Provider Business Mailing Address
First Line : 8324 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1603
Country : US
Telephone Number : 713-772-3499
Fax Number : 713-772-3959
Provider Business Practice Location Address
First Line : 8324 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1603
Country : US
Telephone Number : 713-772-3499
Fax Number : 713-772-3959
Authorized Official
Title or Position : DENTIST
Name : DR. KHANH NGOC NGUYEN
Credential : D.D.S, PA
Telephone Number : 713-772-3499
Provider Enumeration Date : 03/12/2008
Last Update Date : 03/12/2008

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Directions to “SOUTHWEST DENTISTS ” Practice Location

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