| Avalon Dental Care Smiles Pllc | |
|
12131 Westheimer Rd Suite A Houston TX 77077-6872 | |
| (832) 729-9637 | |
| Not Available |
| Full Name | Avalon Dental Care Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 12131 Westheimer Rd, Houston, Texas |
| Authorized Official Name and Position | Sandhya R Kondapaneni (PRESIDENT) |
| Authorized Official Contact | 8327299637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Dental Care Smiles Pllc 12131 Westheimer Rd Suite A Houston TX 77077-6872 Ph: (832) 729-9637 | Avalon Dental Care Smiles Pllc 12131 Westheimer Rd Suite A Houston TX 77077-6872 Ph: (832) 729-9637 |
| NPI Number | 1174068712 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174068712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23618 (Texas) | Primary |
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