Provider Demographics
NPI:1962872358
Name:ADVANCED CARE DENTURES & DENTISTRY
Entity type:Organization
Organization Name:ADVANCED CARE DENTURES & DENTISTRY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-998-2000
Mailing Address - Street 1:5233 FAIRMONT PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3947
Mailing Address - Country:US
Mailing Address - Phone:281-998-2000
Mailing Address - Fax:281-998-0409
Practice Address - Street 1:5233 FAIRMONT PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3947
Practice Address - Country:US
Practice Address - Phone:281-998-2000
Practice Address - Fax:281-998-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty