Provider Demographics
NPI:1992859714
Name:MAI, DUNG THI MY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUNG
Middle Name:THI MY
Last Name:MAI
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 1:10614 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3405
Mailing Address - Country:US
Mailing Address - Phone:713-953-0088
Mailing Address - Fax:713-953-0449
Practice Address - Street 1:10614 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3405
Practice Address - Country:US
Practice Address - Phone:713-953-0088
Practice Address - Fax:713-953-0449
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX180241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice