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10407 North Fwy Suite B Houston TX 77037-1136 | |
| (281) 260-7773 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10407 North Fwy, Houston, Texas |
| Authorized Official Name and Position | Sadaf Sianati (PRESIDENT) |
| Authorized Official Contact | 2812607773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10407 North Fwy Suite B Houston TX 77037-1136 Ph: (281) 260-7773 | 10407 North Fwy Suite B Houston TX 77037-1136 Ph: (281) 260-7773 |
| NPI Number | 1073844130 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073844130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23096 (Texas) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 24915 (Texas) | Secondary |
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