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NPI Code Detail

MEDICARE: REN DENTAL PLLC

MEDICARE: REN DENTAL PLLC
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 Dentistry24610TX

General Provider Information

NPI Number : 1043640642
Entity Type Code : Organization
Provider Name (Legal Business Name) : REN DENTAL PLLC
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : ALIEF
State : TX
Zip : 77411-0909
Country : US
Telephone Number : 713-364-7980
Fax Number : 713-364-7985
Provider Business Practice Location Address
First Line : 5962 RENWICK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2406
Country : US
Telephone Number : 713-364-7980
Fax Number : 713-364-7985
Authorized Official
Title or Position : OWNER
Name : HUYNH HOA NGUYEN
Credential : DDS
Telephone Number : 469-446-3833
Provider Enumeration Date : 11/18/2013
Last Update Date : 11/18/2013

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Directions to “REN DENTAL PLLC ” Practice Location

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