| Archangel Dental Group, P.a. | |
|
10100 Beechnut St Suite 110 Houston TX 77072-5000 | |
| (281) 879-5800 | |
| (281) 879-9300 |
| Full Name | Archangel Dental Group, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10100 Beechnut St, Houston, Texas |
| Authorized Official Name and Position | Charles Kai Chow (DENTIST) |
| Authorized Official Contact | 2818795800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archangel Dental Group, P.a. 10100 Beechnut St Ste 110 Houston TX 77072-5042 Ph: (281) 879-5800 | Archangel Dental Group, P.a. 10100 Beechnut St Suite 110 Houston TX 77072-5000 Ph: (281) 879-5800 |
| NPI Number | 1003964214 |
|---|---|
| Provider Enumeration Date | 01/07/2007 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003964214 | NPI | - | NPPES |
| 159127301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20638 (Texas) | Primary |
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