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8635 Long Point Rd Ste A Houston TX 77055-3001 | |
(713) 468-2488 | |
(713) 468-1299 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 8635 Long Point Rd Ste A, Houston, Texas |
Authorized Official Name and Position | Don N Le (DENTIST) |
Authorized Official Contact | 7134682488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8635 Long Point Rd Ste A Houston TX 77055-3001 Ph: (713) 468-2488 | 8635 Long Point Rd Ste A Houston TX 77055-3001 Ph: (713) 468-2488 |
NPI Number | 1669660304 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 10/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669660304 | NPI | - | NPPES |
009459103 | Medicaid | TX | |
009459105 | Medicaid | TX | |
177548801 | Medicaid | TX | |
346840701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19396 (Texas) | Primary |
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