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10139 Hammerly Blvd. Houston TX 77080 | |
| (713) 465-0099 | |
| (713) 465-0094 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10139 Hammerly Blvd., Houston, Texas |
| Authorized Official Name and Position | Ngoc Kim Khuu (PRESIDENT) |
| Authorized Official Contact | 7134650099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10139 Hammerly Blvd. Houston TX 77080 Ph: (713) 465-0099 | 10139 Hammerly Blvd. Houston TX 77080 Ph: (713) 465-0099 |
| NPI Number | 1356615793 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356615793 | NPI | - | NPPES |
| 177961309 | Medicaid | TX | |
| B22521 | Other | TX | TEXAS CHIP |
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