| Avenue Family Dentistry, Pllc | |
|
5420 Dashwood Dr Suite 300 Houston TX 77081-5357 | |
| (713) 664-1800 | |
| (713) 664-0114 |
| Full Name | Avenue Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5420 Dashwood Dr, Houston, Texas |
| Authorized Official Name and Position | Mary Helainne Villaflor Austria (MEMBER/OWNER/DENTIST) |
| Authorized Official Contact | 7136641800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Family Dentistry, Pllc 5420 Dashwood Dr Suite 300 Houston TX 77081-5357 Ph: (713) 664-1800 | Avenue Family Dentistry, Pllc 5420 Dashwood Dr Suite 300 Houston TX 77081-5357 Ph: (713) 664-1800 |
| NPI Number | 1174920458 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174920458 | NPI | - | NPPES |
| 205063502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24770 (Texas) | Primary |
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