MEDICARE: LAUREN T. NGUYEN, DDS,PA

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	19946	TX

General Provider Information

NPI Number	:	1407980394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREN T. NGUYEN, DDS,PA

Provider Business Mailing Address
First Line	:	5605 WINSOME LN
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77057-5729
Country	:	US
Telephone Number	:	713-484-8484
Fax Number	:	713-484-7137

Provider Business Practice Location Address
First Line	:	5605 WINSOME LN
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77057-5729
Country	:	US
Telephone Number	:	713-484-8484
Fax Number	:	713-484-7137

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN T NGUYEN
Credential	:
Telephone Number	:	713-484-8484

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/15/2014

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