Portrait Dental Pllc

NPI #1023486503 in Katy, Texas

Provider Information

NPI Number: 1023486503
Entity Type: Organization
Organization Name: Portrait Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 14, 2015
Last Updated: Sep 14, 2015

Practice Location

Address: 27131 CINCO RANCH BLVD
Address 2: SUITE #250
City: Katy
State: Texas
ZIP Code: 77494
Phone: (832) 483-4583

Authorized Official

Name: DR. MINH DUC NGUYEN, DDS
Title: MEMBER
Phone: (832) 483-4583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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