Provider Demographics
NPI:1063947208
Name:D & C DENTAL CORP, PLLC
Entity type:Organization
Organization Name:D & C DENTAL CORP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-491-9494
Mailing Address - Street 1:2810 BUSINESS CENTER DR.
Mailing Address - Street 2:SUITE #108
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584
Mailing Address - Country:US
Mailing Address - Phone:713-436-5655
Mailing Address - Fax:
Practice Address - Street 1:2810 BUSINESS CENTER DR.
Practice Address - Street 2:SUITE #108
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:713-436-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty