Nguyen, Quynh Lan

Nguyen, Quynh Lan is an individual health care provider with primary practice located at 5705 Fondren Rd Ste 104 , Houston TX 77036-1843. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Nguyen, Quynh Lan can be contacted via phone (714) 781-7827.

Contact Information

Primary practice address
5705 Fondren Rd Ste 104 Houston TX 77036-1843
Phone: (714) 781-7827
Fax: (713) 781-7829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 26347 Texas
Dental Providers / Dentist 122300000X 58171 California
Dental Providers / Dentist 122300000X DE00011142 Washington
Dental Providers / General Practice 1223G0001X 26347 Texas

Profile Details

NPI number 1295710531
LBN Legal business name Nguyen, Quynh Lan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated May 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295710531 NPPES
Texas MEDICAID 2843898-08

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