Provider Demographics
NPI:1932333929
Name:TOTO DENTAL P.A
Entity Type:Organization
Organization Name:TOTO DENTAL P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAIKHANH
Authorized Official - Middle Name:
Authorized Official - Last Name:TR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-568-5124
Mailing Address - Street 1:8388 W. SAM HOUSTON PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072
Mailing Address - Country:US
Mailing Address - Phone:281-568-5124
Mailing Address - Fax:281-568-5129
Practice Address - Street 1:8388 W SAM HOUSTON PKWY S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5079
Practice Address - Country:US
Practice Address - Phone:281-568-5124
Practice Address - Fax:281-568-5129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21483302R00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization