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8412 Katy Fwy # 450 Houston TX 77024-1950 | |
| (713) 515-6575 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 8412 Katy Fwy # 450, Houston, Texas |
| Authorized Official Name and Position | Andrienne Andress (OWNER) |
| Authorized Official Contact | 7135156575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8412 Katy Fwy # 450 Houston TX 77024-1950 Ph: (713) 515-6575 | 8412 Katy Fwy # 450 Houston TX 77024-1950 Ph: (713) 515-6575 |
| NPI Number | 1568703999 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 03/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568703999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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