Provider Demographics
NPI:1346332186
Name:VUONG, NGHIA QUANG (DMD)
Entity Type:Individual
Prefix:MR
First Name:NGHIA
Middle Name:QUANG
Last Name:VUONG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11169 BEECHNUT STREET
Mailing Address - Street 2:SUITE # A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072
Mailing Address - Country:US
Mailing Address - Phone:281-498-6687
Mailing Address - Fax:281-498-7449
Practice Address - Street 1:11169 BEECHNUT STREET
Practice Address - Street 2:SUITE # A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072
Practice Address - Country:US
Practice Address - Phone:281-498-6687
Practice Address - Fax:281-498-7449
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice