| Alder Trails Dental | |
|
11403 Barker Cypress Rd Ste 1300 Cypress TX 77433-5425 | |
| (281) 721-9575 | |
| (281) 721-9594 |
| Full Name | Alder Trails Dental |
|---|---|
| Speciality | Dentist |
| Location | 11403 Barker Cypress Rd Ste 1300, Cypress, Texas |
| Authorized Official Name and Position | Peter Tran (DOCTOR/OWNER) |
| Authorized Official Contact | 2817219575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alder Trails Dental 11403 Barker Cypress Rd Ste 1300 Cypress TX 77433-5425 Ph: (281) 721-9575 | Alder Trails Dental 11403 Barker Cypress Rd Ste 1300 Cypress TX 77433-5425 Ph: (281) 721-9575 |
| NPI Number | 1417413451 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417413451 | NPI | - | NPPES |
| 3735631 | Medicaid | TX | |
| 1619424561 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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