Centra Dental | |
4318 W Fuqua St Houston TX 77045-6204 | |
(713) 433-7500 | |
Not Available |
Full Name | Centra Dental |
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Speciality | Dentist - General Practice |
Location | 4318 W Fuqua St, Houston, Texas |
Authorized Official Name and Position | Kathy Nguyen (DENTIST/OWNER) |
Authorized Official Contact | 8322898803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centra Dental 4318 W Fuqua St Houston TX 77045-6204 Ph: (713) 433-7500 | Centra Dental 4318 W Fuqua St Houston TX 77045-6204 Ph: (713) 433-7500 |
NPI Number | 1174869580 |
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Provider Enumeration Date | 12/13/2012 |
Last Update Date | 01/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174869580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 25748 (Texas) | Primary |
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