| Centra Soho Pllc | |
|
701 College Ave South Houston TX 77587-4205 | |
| (713) 941-7555 | |
| Not Available |
| Full Name | Centra Soho Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 College Ave, South Houston, Texas |
| Authorized Official Name and Position | Kathy Nguyen (OWNER) |
| Authorized Official Contact | 8322898803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Soho Pllc 701 College Ave South Houston TX 77587-4205 Ph: (713) 941-7555 | Centra Soho Pllc 701 College Ave South Houston TX 77587-4205 Ph: (713) 941-7555 |
| NPI Number | 1760028021 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760028021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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