| Colonial Dental | |
|
4645 Hwy 6 Suite G Sugar Land TX 77478 | |
| (281) 494-8188 | |
| (281) 494-8190 |
| Full Name | Colonial Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4645 Hwy 6, Sugar Land, Texas |
| Authorized Official Name and Position | Andrew Viet Huy La (DENTIST OWNER) |
| Authorized Official Contact | 2814948188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Dental 4645 Hwy 6 Suite G Sugar Land TX 77478 Ph: (281) 494-8188 | Colonial Dental 4645 Hwy 6 Suite G Sugar Land TX 77478 Ph: (281) 494-8188 |
| NPI Number | 1104992726 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104992726 | NPI | - | NPPES |
| 140595301 | Medicaid | TX | |
| 140595302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18006 (Texas) | Primary |
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