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NPI Code Detail

MEDICARE: VINCE TRI HOANG DDS

MEDICARE: VINCE TRI HOANG DDS
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 Dentistry18280TX

General Provider Information

NPI Number : 1639270515
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINCE TRI HOANG DDS
Provider Business Mailing Address
First Line : 1450 W PARMER LN
Second Line :
City : AUSTIN
State : TX
Zip : 78727-4501
Country : US
Telephone Number : 512-251-6125
Fax Number : 512-251-6126
Provider Business Practice Location Address
First Line : 1450 W PARMER LN
Second Line :
City : AUSTIN
State : TX
Zip : 78727-4501
Country : US
Telephone Number : 512-251-6125
Fax Number : 512-251-6126
Authorized Official
Title or Position : OWNER
Name : DR. VINCE TRI HOANG
Credential : D.D.S.
Telephone Number : 512-251-6125
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/09/2012

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