Provider Demographics
NPI:1932692266
Name:XIAO, ROSE QUANG DUONG (DDS)
Entity type:Individual
Prefix:DR
First Name:ROSE
Middle Name:QUANG DUONG
Last Name:XIAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:
Other - Last Name:DUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4303 CREEK LEDGE # B-3
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4614
Mailing Address - Country:US
Mailing Address - Phone:817-808-5017
Mailing Address - Fax:
Practice Address - Street 1:11671 JOLLYVILLE RD # 204A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4139
Practice Address - Country:US
Practice Address - Phone:512-345-9973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34223122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist