Provider Demographics
NPI:1649599788
Name:ROSE VUONG DDS PC
Entity Type:Organization
Organization Name:ROSE VUONG DDS PC
Other - Org Name:WESTHEIMER LAKES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:VUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-394-7581
Mailing Address - Street 1:26440 FM 1093 RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7201
Mailing Address - Country:US
Mailing Address - Phone:281-394-7581
Mailing Address - Fax:281-394-7582
Practice Address - Street 1:26440 FM 1093 RD
Practice Address - Street 2:SUITE 340
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7201
Practice Address - Country:US
Practice Address - Phone:281-394-7581
Practice Address - Fax:281-394-7582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty