| Landon Long Nguyen Pllc | |
|
26621 U.s. Highway 380 W, Suite 110 Providence Village TX 76227 | |
| (940) 241-9993 | |
| (940) 241-4994 |
| Full Name | Landon Long Nguyen Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 26621 U.s. Highway 380 W, Suite 110, Providence Village, Texas |
| Authorized Official Name and Position | Landon Long Nguyen (OWNER DENTIST) |
| Authorized Official Contact | 9402419993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landon Long Nguyen Pllc 26621 U.s. Highway 380 W, Suite 110 Providence Village TX 76227 Ph: (940) 241-9993 | Landon Long Nguyen Pllc 26621 U.s. Highway 380 W, Suite 110 Providence Village TX 76227 Ph: (940) 241-9993 |
| NPI Number | 1710686712 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710686712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |