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21356 Kuykendahl Rd Ste B Spring TX 77379-2607 | |
(346) 459-6040 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 21356 Kuykendahl Rd Ste B, Spring, Texas |
Authorized Official Name and Position | Haley Wooster (ENROLLMENT SPECIALIST) |
Authorized Official Contact | 7127338551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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21356 Kuykendahl Rd Ste B Spring TX 77379-2607 Ph: (346) 459-6040 | 21356 Kuykendahl Rd Ste B Spring TX 77379-2607 Ph: (346) 459-6040 |
NPI Number | 1851004824 |
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Provider Enumeration Date | 01/04/2023 |
Last Update Date | 11/08/2023 |
Identifier | Type | State | Issuer |
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1851004824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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