| Abc123 Pediatric Dentistry, Pa | |
|
1901 Kirby St Ste 103 Pearland TX 77584-5705 | |
| (713) 436-8988 | |
| Not Available |
| Full Name | Abc123 Pediatric Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1901 Kirby St Ste 103, Pearland, Texas |
| Authorized Official Name and Position | Ivette Diaz (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7134368988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc123 Pediatric Dentistry, Pa 1901 Kirby St Ste 103 Pearland TX 77584-5705 Ph: (713) 436-8988 | Abc123 Pediatric Dentistry, Pa 1901 Kirby St Ste 103 Pearland TX 77584-5705 Ph: (713) 436-8988 |
| NPI Number | 1699914705 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699914705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20798 (Texas) | Primary |
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