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20631 Kuykendahl Rd Ste 140 Spring TX 77379-3318 | |
(281) 655-0603 | |
(281) 655-0605 |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 20631 Kuykendahl Rd, Spring, Texas |
Authorized Official Name and Position | Michael Anthony Kaiser (OWNER) |
Authorized Official Contact | 2816550603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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20631 Kuykendahl Rd Ste 140 Spring TX 77379-3318 Ph: (281) 655-0603 | 20631 Kuykendahl Rd Ste 140 Spring TX 77379-3318 Ph: (281) 655-0603 |
NPI Number | 1063869550 |
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Provider Enumeration Date | 05/16/2016 |
Last Update Date | 05/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063869550 | NPI | - | NPPES |
1992925879 | Other | TX | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 22224 (Texas) | Primary |
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