MEDICARE: DENTAL ZONE

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	1223G0001X	General Practice Dentistry	17282	TX

General Provider Information

NPI Number	:	1255459319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL ZONE

Provider Business Mailing Address
First Line	:	13480 VETERANS MEMORIAL DR STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1641
Country	:	US
Telephone Number	:	281-583-2650
Fax Number	:

Provider Business Practice Location Address
First Line	:	13480 VETERANS MEMORIAL DR STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1641
Country	:	US
Telephone Number	:	281-583-2650
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. TUAN HOANG
Credential	:
Telephone Number	:	281-583-2650

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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Directions to “DENTAL ZONE ” Practice Location

Language	Start Address	Practice Location

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