Daisy Dental P.c.
NPI #1104117241 in Hickory Creek, Texas
Provider Information
- NPI Number
- 1104117241
- Entity Type
- Organization
- Organization Name
- Daisy Dental P.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 24, 2011
- Last Updated
- Jul 16, 2011
Practice Location
- Address
- 3970 FM 2181
- Address 2
- SUITE 200
- City
- Hickory Creek
- State
- Texas
- ZIP Code
- 75065-4249
- Phone
- (972) 999-3580
Authorized Official
- Name
- DR. JOHNIE M NGUYEN, DDS
- Title
- DENTIST/PRESIDENT
- Phone
- (940) 497-6453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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