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NPI Code Detail

MEDICARE: KHIN THAW DDS PC

MEDICARE: KHIN THAW DDS PC
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 Dentistry27188TX

General Provider Information

NPI Number : 1598111379
Entity Type Code : Organization
Provider Name (Legal Business Name) : KHIN THAW DDS PC
Provider Business Mailing Address
First Line : 9288 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77036-4502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9288 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77036-4502
Country : US
Telephone Number : 832-767-2715
Fax Number :
Authorized Official
Title or Position : OWNER/DENTIST
Name : DR. KHIN THAW
Credential : DDS
Telephone Number : 832-767-2715
Provider Enumeration Date : 05/11/2016
Last Update Date : 07/13/2016

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Directions to “KHIN THAW DDS PC ” Practice Location

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