MEDICARE: T & T 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	122300000X	Dentist	23975	TX

General Provider Information

NPI Number	:	1467897561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & T DDS, PA

Provider Business Mailing Address
First Line	:	6060 BELLAIRE BLVD STE G
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5425
Country	:	US
Telephone Number	:	713-664-7068
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 BELLAIRE BLVD STE G
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5425
Country	:	US
Telephone Number	:	713-664-7068
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HONGLAN TRAN
Credential	:	DMD
Telephone Number	:	713-664-7068

Provider Enumeration Date	:	05/02/2013
Last Update Date	:	05/02/2013

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