Provider Demographics
NPI:1942491808
Name:TU MINH LA DENTAL PLLC
Entity Type:Organization
Organization Name:TU MINH LA DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TU
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:LA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-495-9881
Mailing Address - Street 1:10603 BELLAIRE BLVD
Mailing Address - Street 2:SUITE B-102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5222
Mailing Address - Country:US
Mailing Address - Phone:281-495-9881
Mailing Address - Fax:281-495-9885
Practice Address - Street 1:10603 BELLAIRE BLVD
Practice Address - Street 2:SUITE B-102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5222
Practice Address - Country:US
Practice Address - Phone:281-495-9881
Practice Address - Fax:281-495-9885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty