Provider Demographics
NPI:1114255973
Name:GOLDEN SMILE DENTISTS, INC
Entity Type:Organization
Organization Name:GOLDEN SMILE DENTISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Q
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-212-3094
Mailing Address - Street 1:13618 BELLAIRE BLVD
Mailing Address - Street 2:SUITE #E6
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1739
Mailing Address - Country:US
Mailing Address - Phone:832-212-3094
Mailing Address - Fax:
Practice Address - Street 1:13618 BELLAIRE BLVD
Practice Address - Street 2:SUITE #E6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1739
Practice Address - Country:US
Practice Address - Phone:832-212-3094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty