Cedar Park Periodontics | |
1803 Briarpark Dr Houston TX 77042-2101 | |
(617) 283-6428 | |
Not Available |
Full Name | Cedar Park Periodontics |
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Speciality | Clinic/center - Dental |
Location | 1803 Briarpark Dr, Houston, Texas |
Authorized Official Name and Position | Prathima Vemulapalli (OWNER) |
Authorized Official Contact | 6172836428 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cedar Park Periodontics 1803 Briarpark Dr Houston TX 77042-2101 Ph: () - | Cedar Park Periodontics 1803 Briarpark Dr Houston TX 77042-2101 Ph: (617) 283-6428 |
NPI Number | 1740670769 |
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Provider Enumeration Date | 01/28/2015 |
Last Update Date | 01/28/2015 |
Identifier | Type | State | Issuer |
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1740670769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 25248 (Texas) | Primary |
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