Provider Demographics
NPI:1679743579
Name:ABS DENTAL ASSOCIATES
Entity type:Organization
Organization Name:ABS DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:DOHUONG
Authorized Official - Middle Name:THI
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-970-3649
Mailing Address - Street 1:9344 JONES RD
Mailing Address - Street 2:M
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5361
Mailing Address - Country:US
Mailing Address - Phone:281-970-3649
Mailing Address - Fax:281-970-3621
Practice Address - Street 1:9344 JONES RD
Practice Address - Street 2:M
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5361
Practice Address - Country:US
Practice Address - Phone:281-970-3649
Practice Address - Fax:281-970-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty