Provider Demographics
NPI:1891040069
Name:NGUYEN, KIM HOANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 KATY FWY
Mailing Address - Street 2:STE. I
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1947
Mailing Address - Country:US
Mailing Address - Phone:713-956-5433
Mailing Address - Fax:713-956-5444
Practice Address - Street 1:7951 KATY FWY
Practice Address - Street 2:STE. I
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1947
Practice Address - Country:US
Practice Address - Phone:713-956-5433
Practice Address - Fax:713-956-5444
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28056122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist