| Cisneros Dentistry Pllc | |
|
918 W Southmore Ave Ste 115 Pasadena TX 77502-1020 | |
| (832) 489-2881 | |
| Not Available |
| Full Name | Cisneros Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 918 W Southmore Ave Ste 115, Pasadena, Texas |
| Authorized Official Name and Position | Carmen Marmol (OFFICE MANAGER) |
| Authorized Official Contact | 8324892881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cisneros Dentistry Pllc 918 W Southmore Ave Ste 115 Pasadena TX 77502-1020 Ph: () - | Cisneros Dentistry Pllc 918 W Southmore Ave Ste 115 Pasadena TX 77502-1020 Ph: (832) 489-2881 |
| NPI Number | 1912563958 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 05/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912563958 | NPI | - | NPPES |
| 22148 | Other | TX | TSBDE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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